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Br J Ophthalmol 2001;85:357-359 ( March )

Scientific correspondence

Ocular significance of intraventricular haemorrhage in premature infants Michael O'Keefe, Namir Kafil-Hussain, Ian Flitcroft, Bernadette Lanigan

National Children's Eye Centre, The Children's Hospital, Temple Street, Dublin 1, Ireland

Correspondence to: Michael O'Keefe mokeefe{at}materprivate.ie

Accepted for publication 19 September 2000

AIM---To document ocular outcome in premature infants with intraventricular haemorrhages (IVH).
METHODS---68 preterm infants with IVH were examined.
RESULTS---Mean gestational age was 28.1 weeks (range 24-35). Mean birth weight was 1045.9 g (630-2240). Mean follow up was 54.6 months (6-150). IVH is graded from 1 to 4 based on the severity of haemorrhages. The incidence of ocular abnormalities was compared between low grade IVH (grade 1 and 2) and high grade IVH (grade 3 and 4). Of the 68 infants with IVH, ROP occurred in 33 infants (48.5%); 13 (43.3%) had low grade IVH; 20 (52.6%) had high grade IVH. Strabismus developed in 30 infants (44.1%); 14 (46.6%) had low grade IVH; 16 (42.1%) had high grade IVH. Infants with high grade IVH were at significant greater risk than infants with low grade IVH for the development of optic atrophy (31.5% v 16.6%), hydrocephalus (57.8% v 10%).
CONCLUSION---This study highlights the serious significance of all grades of IVH with the higher incidence of optic atrophy and hydrocephalus with high grade IVH.

© 2001 by British Journal of Ophthalmology


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