PMID- 34747032 OWN - NLM STAT- MEDLINE DCOM- 20220323 LR - 20220323 IS - 1475-1313 (Electronic) IS - 0275-5408 (Linking) VI - 42 IP - 1 DP - 2022 Jan TI - 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. PG - 195-204 LID - 10.1111/opo.12910 [doi] AB - 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. CI - (c) 2021 The Authors Ophthalmic and Physiological Optics (c) 2021 The College of Optometrists. FAU - Paudel, Nabin AU - Paudel N AD - Centre for Eye Research, Ireland, Technological University Dublin, Dublin, Ireland. AD - School of Optometry and Vision Science, The University of Auckland, Auckland, New Zealand. FAU - Thompson, Benjamin AU - Thompson B AUID- ORCID: 0000-0002-3902-2712 AD - School of Optometry and Vision Science, The University of Auckland, Auckland, New Zealand. AD - School of Optometry and Vision Science, University of Waterloo, Waterloo, Ontario, Canada. AD - Centre for Eye and Vision Research, Shatin, Hong Kong. FAU - Chakraborty, Arijit AU - Chakraborty A AD - Chicago College of Optometry, Midwestern University, Downers Grove, Illinois, USA. FAU - Harding, Jane AU - Harding J AD - Liggins Institute, The University of Auckland, Auckland, New Zealand. FAU - Jacobs, Robert J AU - Jacobs RJ AD - School of Optometry and Vision Science, The University of Auckland, Auckland, New Zealand. FAU - Wouldes, Trecia A AU - Wouldes TA AD - Department of Psychological Medicine, The University of Auckland, Auckland, New Zealand. FAU - Yu, Sandy Ty AU - Yu ST AD - School of Optometry and Vision Science, The University of Auckland, Auckland, New Zealand. FAU - Anstice, Nicola S AU - Anstice NS AUID- ORCID: 0000-0003-1999-5274 AD - School of Optometry and Vision Science, The University of Auckland, Auckland, New Zealand. AD - Caring Futures Institute, Flinders University, Adelaide, South Australia, Australia. CN - CHYLD Study Team LA - eng GR - R01 HD069622/HD/NICHD NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20211108 PL - England TA - Ophthalmic Physiol Opt JT - Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) JID - 8208839 SB - IM MH - Child MH - Child, Preschool MH - Depth Perception MH - Humans MH - *Hypoglycemia/complications/diagnosis MH - Infant MH - Infant, Newborn MH - Vision Tests MH - *Vision, Binocular MH - Visual Acuity OTO - NOTNLM OT - children's vision OT - hypoglycaemia OT - neurodevelopment OT - stereoacuity OT - visual acuity EDAT- 2021/11/09 06:00 MHDA- 2022/03/24 06:00 CRDT- 2021/11/08 07:05 PHST- 2021/09/26 00:00 [revised] PHST- 2020/12/14 00:00 [received] PHST- 2021/09/27 00:00 [accepted] PHST- 2021/11/09 06:00 [pubmed] PHST- 2022/03/24 06:00 [medline] PHST- 2021/11/08 07:05 [entrez] AID - 10.1111/opo.12910 [doi] PST - ppublish SO - Ophthalmic Physiol Opt. 2022 Jan;42(1):195-204. doi: 10.1111/opo.12910. Epub 2021 Nov 8.