Myopia is a frequent sequelae of retinopathy of prematurity. The mecha
nism for myopia development in children born preterm is not well under
stood. From a group of 33 myopic preterm children we selected those wh
o had regressed retinopathy and myopic values less-than-or-equal-to 5
D. Seventeen children met our criteria. Of them, 10 patients could be
re-examined. Factors related to myopia development were analyzed and c
ompared to a control group of 12 children born fullterm with emmetropi
a or low hypermetropia, as well as another group of 10 fullterm childr
en with myopic values less-than-or-equal-to 5 D. The age of children r
anged from 9 to 14 years in all groups. The mean birth weight in myopi
c premature children was 1249.3 g. Higher keratometric diopter values
were found in myopic premature children than in emmetropic fullterm ch
ildren (p < 0.05) and myopic fullterm children (p < 0.05). Increased a
xial length values were observated in myopic fullterm children when co
mpared to myopic premature children (p < 0.05). In children born prete
rm the corneal refractive power seems to play a major role in myopia d
evelopment.