Relationship between visual and neurodevelopmental measures at 2 years with visual acuity and stereopsis at 4.5 years in children born at risk of neonatal hypoglycaemia.

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Title: Relationship between visual and neurodevelopmental measures at 2 years with visual acuity and stereopsis at 4.5 years in children born at risk of neonatal hypoglycaemia.
Authors: Paudel, Nabin (AUTHOR), Thompson, Benjamin (AUTHOR), Chakraborty, Arijit (AUTHOR), Harding, Jane (AUTHOR), Jacobs, Robert J (AUTHOR), Wouldes, Trecia A (AUTHOR), Yu, Sandy TY (AUTHOR), Anstice, Nicola S (AUTHOR)
Source: Ophthalmic & Physiological Optics. Jan2022, Vol. 42 Issue 1, p195-204. 10p. 3 Charts, 2 Graphs.
Subjects: Visual acuity, Hypoglycemia, Vision, Vision disorders, Educational tests & measurements
Abstract: Purpose: Mild to moderate vision loss affects many children and can negatively impact a child's early literacy and academic achievement. Nevertheless, there is no consensus on which factors present in early childhood indicate the need for long‐term ophthalmic follow up, particularly in children with a history of perinatal adversity. This study identified the relationship between visual, cognitive, motor and demographic factors at 2 years of age and visual acuity (VA) and stereoacuity at 4.5 years of age. Methods: Five hundred sixteen children identified as being at risk of neonatal hypoglycaemia were recruited soon after birth. At 2 years of age, binocular VA, stereoacuity and non‐cycloplegic refraction were measured and a clinical neuro‐developmental assessment with the Bayley Scales of Infant Development III (BSID‐III) was conducted by a trained examiner. Monocular VA and stereoacuity were measured at 4.5 years of age. Results: Three hundred twenty‐eight children completed both the 2 and 4.5 year vision and neurodevelopmental assessments. Multiple linear regression showed oblique astigmatism and motor function at 2 years were significantly associated with VA at 4.5 years of age, while spherical equivalent refraction, motor scores and stereoacuity at 2 years were significantly associated with stereoacuity at 4.5 years of age. BSID‐III motor scores had the best sensitivity (81.8%) and specificity (51.5%) for identifying impaired stereoacuity at 4.5 years. However, all measures at 2 years were poorly associated with VA at 4.5 years old. Conclusion: Vision and neurodevelopmental measures at 2 years were poorly associated with visual function at 4.5 years of age. However, lower scores on tests of motor function at 2 years may be associated with vision abnormalities, particularly reduced stereopsis, at 4.5 years of age and referral for comprehensive vision assessment for these children may be warranted. [ABSTRACT FROM AUTHOR]
Copyright of Ophthalmic & Physiological Optics is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Relationship between visual and neurodevelopmental measures at 2 years with visual acuity and stereopsis at 4.5 years in children born at risk of neonatal hypoglycaemia.
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  Data: <searchLink fieldCode="AR" term="%22Paudel%2C+Nabin%22">Paudel, Nabin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Thompson%2C+Benjamin%22">Thompson, Benjamin</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Chakraborty%2C+Arijit%22">Chakraborty, Arijit</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Harding%2C+Jane%22">Harding, Jane</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Jacobs%2C+Robert+J%22">Jacobs, Robert J</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Wouldes%2C+Trecia+A%22">Wouldes, Trecia A</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Yu%2C+Sandy+TY%22">Yu, Sandy TY</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Anstice%2C+Nicola+S%22">Anstice, Nicola S</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Ophthalmic+%26+Physiological+Optics%22">Ophthalmic & Physiological Optics</searchLink>. Jan2022, Vol. 42 Issue 1, p195-204. 10p. 3 Charts, 2 Graphs.
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  Data: <searchLink fieldCode="DE" term="%22Visual+acuity%22">Visual acuity</searchLink><br /><searchLink fieldCode="DE" term="%22Hypoglycemia%22">Hypoglycemia</searchLink><br /><searchLink fieldCode="DE" term="%22Vision%22">Vision</searchLink><br /><searchLink fieldCode="DE" term="%22Vision+disorders%22">Vision disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+tests+%26+measurements%22">Educational tests & measurements</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Purpose: Mild to moderate vision loss affects many children and can negatively impact a child's early literacy and academic achievement. Nevertheless, there is no consensus on which factors present in early childhood indicate the need for long‐term ophthalmic follow up, particularly in children with a history of perinatal adversity. This study identified the relationship between visual, cognitive, motor and demographic factors at 2 years of age and visual acuity (VA) and stereoacuity at 4.5 years of age. Methods: Five hundred sixteen children identified as being at risk of neonatal hypoglycaemia were recruited soon after birth. At 2 years of age, binocular VA, stereoacuity and non‐cycloplegic refraction were measured and a clinical neuro‐developmental assessment with the Bayley Scales of Infant Development III (BSID‐III) was conducted by a trained examiner. Monocular VA and stereoacuity were measured at 4.5 years of age. Results: Three hundred twenty‐eight children completed both the 2 and 4.5 year vision and neurodevelopmental assessments. Multiple linear regression showed oblique astigmatism and motor function at 2 years were significantly associated with VA at 4.5 years of age, while spherical equivalent refraction, motor scores and stereoacuity at 2 years were significantly associated with stereoacuity at 4.5 years of age. BSID‐III motor scores had the best sensitivity (81.8%) and specificity (51.5%) for identifying impaired stereoacuity at 4.5 years. However, all measures at 2 years were poorly associated with VA at 4.5 years old. Conclusion: Vision and neurodevelopmental measures at 2 years were poorly associated with visual function at 4.5 years of age. However, lower scores on tests of motor function at 2 years may be associated with vision abnormalities, particularly reduced stereopsis, at 4.5 years of age and referral for comprehensive vision assessment for these children may be warranted. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Ophthalmic & Physiological Optics is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1111/opo.12910
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      – Code: eng
        Text: English
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      – SubjectFull: Visual acuity
        Type: general
      – SubjectFull: Hypoglycemia
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      – SubjectFull: Vision
        Type: general
      – SubjectFull: Vision disorders
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      – SubjectFull: Educational tests & measurements
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      – TitleFull: Relationship between visual and neurodevelopmental measures at 2 years with visual acuity and stereopsis at 4.5 years in children born at risk of neonatal hypoglycaemia.
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              Text: Jan2022
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              Y: 2022
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