Abstract
Abstract Purpose To describe the frequency of ROP and visual impairment with respect to gender in children born at gestational ages (GA) before 25 weeks. Methods In a population‐based group of children born at GA <25+0 1990‐2002, who survived to 4 years of age (n=114), maximal ROP stages, treatment and visual outcome were followed up. Results Almost all (97,4%) children had ROP and 63,2% were treated with retinal ablation. Visual impairment (VA<0.33) was more common in boys (32,6%)than in girls (9,2%). All visually impaired children but one had severe ROP as the primary cause of their visual impairment. Almost all visually impaired children had additional functional deficits. Conclusion A large proportion of children born before 25 gestational weeks are visually impaired in spite of screening and treatment of ROP. Almost all visually impaired children in this group have additional functional deficits due to cerebral dysfunction.
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