A. Hellstrom et al., FUNDUS MORPHOLOGY ASSESSED BY DIGITAL - IMAGE-ANALYSIS IN CHILDREN WITH FETAL ALCOHOL SYNDROME, Journal of pediatric ophthalmology and strabismus, 34(1), 1997, pp. 17-23
Background: Fetal alcohol syndrome (FAS) is associated with anomalies
of the eye ground. The aim of this study was to evaluate the developme
nt of fundus morphology in children with FAS from early childhood to a
dolescence. Methods: Fundus photographs were evaluated by digital imag
e analysis in 16 children with FAS. Age at the baseline study was betw
een 0.25 and 14 years, and the median follow-up period was 7 years (ra
nge: 0.5 to 12). Sixteen sex- and age-matched healthy children were us
ed as controls. Results: Children with FAS had a smaller optic disc ar
ea, lower frequency of excavations, greater tortuosity of retinal vess
els, and a smaller number of vascular branching points compared with t
he controls. There were no significant differences in the fundus abnor
malities between the first and last examinations. Conclusion: No inter
val change of retinal fundus morphology was found at follow up, sugges
ting that the ocular abnormalities associated with FAS remain unchange
d during childhood.