H.İbrahim Altınsoy

Screening for retinopathy of prematurity in a tertiary care newborn unit in Turkey: frequency, outcomes, and risk factor analysis.

PURPOSE To report the frequency, risk factors, and outcomes of screening for retinopathy of prematurity (ROP). METHODS Data of neonates with a gestational age of 34 weeks or less were analyzed and the predictors on the development of ROP were determined by using logistic regression analysis. RESULTS Of the 318 neonates, the frequency of ROP was 37.1% for any stage and 7.2% for stage 3 or greater. Treatment was needed in 16.1% of neonates with ROP. No treatment was required in neonates with a gestational age of greater than 32 weeks. Oxygen therapy, sepsis, gestational age of 32 weeks or less, and birth weight of less than 1,250 g were determined as the independent risk factors. CONCLUSIONS Although frequency of ROP in Turkey is similar to that in the United States, the rate of severe ROP necessitating treatment seems to be higher in Turkey. Neonates with a gestational age of 32 weeks or less, a birth weight of less than 1,250 g, sepsis, and oxygen therapy may have a greater risk of developing ROP and screening should be intensified in the presence of these risk factors.

Distance Stereoacuity Norms for the Mentor B-VAT II-SG Video Acuity Tester in Young Children and Young Adults

PURPOSE The purpose of this study was to provide normative distance stereoacuity data for the Mentor B-VAT II-SG video acuity tester (Mentor O & O, Norwell, Mass.). METHODS Near and distance stereoacuity for 45 normal young children (5 to 6 years old, child group) and 67 normal young adults (16 to 20 years old, adult group) were evaluated. Distance stereoacuity was measured with the Random Dot and the Circles tests on the B-VAT unit. Near stereopsis was assessed by Titmus, Randot, and TNO tests. Additionally, a random subset of the subjects was retested 1 month later with the B-VAT unit. RESULTS The mean and SD values of stereoacuity measured on the Circles and Random Dot tests were 49 +/- 33 and 98 +/- 49 seconds of arc in children (p < 0.0001) and 50 +/- 32 and 83 +/- 51 seconds of arc in adults (p < 0.0001), respectively. No significant differences were found between the same tests with respect to age. Of 112 subjects in both groups, 110 (98%) achieved 120 seconds of arc or finer stereoacuity threshold levels on the Circles test and 108 (96%) demonstrated 180 seconds of arc or finer scores on the Random Dot test. Although all but two of the subjects exhibited stereopsis both at near and at distance, there were low correlations among the different near and distance stereotests. Test and retest distance stereoacuity scores agreed closely. CONCLUSIONS The B-VAT II-SG system produces reliable distance stereoacuity data. The norms we obtained may aid the clinician to detect binocular visual disturbances or may provide a basis for using distance stereoacuity as a screening method.

Aicardi Syndrome: An Unusual Case Associated With Pineal Gland Cyst and Ventricular Septal Defect

Aicardi syndrome is a cerebroretinal disorder consisting of a heterogeneous spectrum of clinical findings that includes the triad of infantile spasms, agenesis of the corpus callosum, and chorioretinal lacunae. This report describes a 6-month-old girl who has all of the essential features suggestive of Aicardi syndrome, as well as a pineal gland cyst and ventricular septal defect. Although the characteristic features of Aicardi syndrome have been described, its association with pineal gland cyst and ventricular septal defect has not been reported in the literature.