Visual-motor abnormalities in VLBW infants with grade III-IV intracranial hemorrhage. ??? 1245:

The objective of our study was to evaluate visual-motor abnormalities at 18 mo corrected age in VLBW infants after grade III-IV intracranial hemorrhage(ICH) in the neonatal period. 14 VLBW infants (BW 700-1565g; GA 27-33 wk) diagnosed to have grade III-IV ICH and progressive posthemorrhagic ventriculomegaly (PHVM) were treated with reservoir placement (with daily reservoir taps) followed by ventriculoperitoneal shunt (VPS) insertion. VPS revisions were performed after NICU discharge whenever shunt infection or obstruction occurred. All infants had detailed ophthalmologic evaluations at 3,6 and 18 mo to evaluate vision and ocular movements and presence of strabismus, nystagmus, optic atrophy and residual retinopathy of prematurity(ROP).