PMID- 30995318 OWN - NLM STAT- MEDLINE DCOM- 20190920 LR - 20190920 IS - 1552-5783 (Electronic) IS - 0146-0404 (Linking) VI - 60 IP - 5 DP - 2019 Apr 1 TI - Cone-Mediated Function Correlates to Altered Foveal Morphology in Preterm-Born Children at School Age. PG - 1614-1620 LID - 10.1167/iovs.18-24892 [doi] AB - PURPOSE: To correlate cone- and rod-mediated function with morphology of the macula in preterm-born children without and with spontaneously regressed retinopathy of prematurity (ROP). METHODS: We performed spectral-domain optical coherence tomography (SD-OCT) single scans in the macular center of preterm-born children aged 6 to 12 years (mean +/- SD, 7.4 +/- 1.8) without ROP (noROP; n = 59) and with spontaneously regressed ROP (srROP; n = 34), documented with wide-angle digital imaging during routine screening for acute ROP, and compared the data from 14 age-matched term-born children. SD-OCT data were compared to functional cone- and rod-mediated results of scotopic and photopic chromatic pupillometry (cP) and two-color fundus-controlled perimetry (2C-FCP). RESULTS: SD-OCT showed a shallowed foveal pit with significantly reduced outer nuclear layer to inner retinal layer ratio, indicating macular developmental arrest (MDA). MDA was present in 44% of the srROP and 27% of the noROP children. Pupil reaction to photopic red stimuli on blue background showed significantly lower values in all preterm-born children with MDA. In accordance, photopic light increment sensitivity (LIS) to red stimuli in the foveal center on the 2C-FCP was also significantly reduced in children with MDA. Under scotopic conditions, no significant differences were apparent in both pupil reaction with cP and LIS with 2C-FCP. CONCLUSIONS: Both objective pupillary response to cone-mediated photopic red stimuli and subjective central cone-mediated results in fundus-controlled perimetry were reduced in preterm-born children with MDA. MDA was present in a significant number of patients with srROP, but also without ROP. FAU - Bowl, Wadim AU - Bowl W AD - Department of Ophthalmology, Justus-Liebig-University, Giessen, Germany. FAU - Raoof, Sinan AU - Raoof S AD - Department of Ophthalmology, Justus-Liebig-University, Giessen, Germany. FAU - Lorenz, Birgit AU - Lorenz B AD - Department of Ophthalmology, Justus-Liebig-University, Giessen, Germany. FAU - Holve, Kerstin AU - Holve K AD - Department of Ophthalmology, Justus-Liebig-University, Giessen, Germany. FAU - Schweinfurth, Silke AU - Schweinfurth S AD - Department of Ophthalmology, Justus-Liebig-University, Giessen, Germany. FAU - Stieger, Knut AU - Stieger K AD - Department of Ophthalmology, Justus-Liebig-University, Giessen, Germany. FAU - Andrassi-Darida, Monika AU - Andrassi-Darida M AD - Department of Ophthalmology, Justus-Liebig-University, Giessen, Germany. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Invest Ophthalmol Vis Sci JT - Investigative ophthalmology & visual science JID - 7703701 SB - IM MH - Birth Weight MH - Child MH - Color Vision/physiology MH - Female MH - Fovea Centralis/diagnostic imaging/*pathology MH - Gestational Age MH - Humans MH - Male MH - Night Vision/physiology MH - *Premature Birth MH - Pupil/physiology MH - Retinal Cone Photoreceptor Cells/*physiology MH - Retinopathy of Prematurity/diagnostic imaging/*physiopathology MH - Tomography, Optical Coherence/methods MH - Visual Acuity MH - Visual Field Tests EDAT- 2019/04/18 06:00 MHDA- 2019/09/21 06:00 CRDT- 2019/04/18 06:00 PHST- 2019/04/18 06:00 [entrez] PHST- 2019/04/18 06:00 [pubmed] PHST- 2019/09/21 06:00 [medline] AID - 2731698 [pii] AID - 10.1167/iovs.18-24892 [doi] PST - ppublish SO - Invest Ophthalmol Vis Sci. 2019 Apr 1;60(5):1614-1620. doi: 10.1167/iovs.18-24892.