Results of Screening for Retinopathy of Prematurity: How the Ideal Screening Program Should Be?

Objectives: To determine the rate of infants with retinopathy of prematurity (ROP) requiring treatment, to investigate the relation of this rate with birth age and birth weight, and to discuss the screening criteria eligible for our country. Materials and Methods: Medical records of premature infa...

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Main Authors: Ebru Esen, Elif Erdem, Kemal Yar
Format: Article
Language:English
Published: Galenos Publishing House 2014-01-01
Series:Türk Oftalmoloji Dergisi
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Online Access:http://www.oftalmoloji.org/article_2343/Results-Of-Screening-For-Retinopathy-Of-Prematurity-How-The-Ideal-Screening-Program-Should-Be
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author Ebru Esen
Elif Erdem
Kemal Yar
author_facet Ebru Esen
Elif Erdem
Kemal Yar
author_sort Ebru Esen
collection DOAJ
description Objectives: To determine the rate of infants with retinopathy of prematurity (ROP) requiring treatment, to investigate the relation of this rate with birth age and birth weight, and to discuss the screening criteria eligible for our country. Materials and Methods: Medical records of premature infants examined for ROP with birth weight ≤2000 gram (g) and/or gestational age ≤34 weeks were evaluated. Patients were grouped according to their birth weights as ≤1000 g, 1001-1500 g, >1500 g, and according to gestational age as ≤27 weeks, 28-31 weeks, ≥32 weeks. The rate of patients with treatment-requiring ROP was evaluated in these groups. The birth weights and gestational ages of these patients were analyzed. Results: Treatment requiring ROP stages were detected in 100 (8%) of 1250 infants. The mean gestational age and birth weight of these patients was 28.3±2.3 (24-34) weeks and 1152.2±396 (520-2120) g respectively, and both were found lower than those of nontreated infants (p<0.001). Regarding the birth weight, 45 (22.3%) of 202 infants ≤1000 g, 39 (%8) of 488 infants between 1001- 1500 g, 16 (%2.9) of 560 infants >1500 g required treatment. According to the gestational age, 33 (19.4%) of 170 infants ≤27 weeks, 59 (10.3%) of 572 infants between 28-31 weeks, 8 (1.6%) of 508 infants ≥32 weeks required treatment. Conclusion: The best way to avoid the vision loss due to ROP is to establish a regular screening program including every infant that may require treatment. So we recommend that screening criteria for our country should be wider than applied in developed countries, and babies having gestational age ≤34 weeks and/or birth weight ≤2000 g should be screened for ROP. (Turk J Ophthalmol 2014; 44: 42-6)
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institution Kabale University
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series Türk Oftalmoloji Dergisi
spelling doaj-art-1a09b0d2a5454320952fd7ded2a9fb242025-08-20T03:54:21ZengGalenos Publishing HouseTürk Oftalmoloji Dergisi1300-06592147-26612014-01-01441424610.4274/tjo.72621Results of Screening for Retinopathy of Prematurity: How the Ideal Screening Program Should Be?Ebru Esen0Elif Erdem1Kemal Yar2Çukurova Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Adana, TürkiyeÇukurova Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Adana, TürkiyeÇukurova Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Adana, TürkiyeObjectives: To determine the rate of infants with retinopathy of prematurity (ROP) requiring treatment, to investigate the relation of this rate with birth age and birth weight, and to discuss the screening criteria eligible for our country. Materials and Methods: Medical records of premature infants examined for ROP with birth weight ≤2000 gram (g) and/or gestational age ≤34 weeks were evaluated. Patients were grouped according to their birth weights as ≤1000 g, 1001-1500 g, >1500 g, and according to gestational age as ≤27 weeks, 28-31 weeks, ≥32 weeks. The rate of patients with treatment-requiring ROP was evaluated in these groups. The birth weights and gestational ages of these patients were analyzed. Results: Treatment requiring ROP stages were detected in 100 (8%) of 1250 infants. The mean gestational age and birth weight of these patients was 28.3±2.3 (24-34) weeks and 1152.2±396 (520-2120) g respectively, and both were found lower than those of nontreated infants (p<0.001). Regarding the birth weight, 45 (22.3%) of 202 infants ≤1000 g, 39 (%8) of 488 infants between 1001- 1500 g, 16 (%2.9) of 560 infants >1500 g required treatment. According to the gestational age, 33 (19.4%) of 170 infants ≤27 weeks, 59 (10.3%) of 572 infants between 28-31 weeks, 8 (1.6%) of 508 infants ≥32 weeks required treatment. Conclusion: The best way to avoid the vision loss due to ROP is to establish a regular screening program including every infant that may require treatment. So we recommend that screening criteria for our country should be wider than applied in developed countries, and babies having gestational age ≤34 weeks and/or birth weight ≤2000 g should be screened for ROP. (Turk J Ophthalmol 2014; 44: 42-6)http://www.oftalmoloji.org/article_2343/Results-Of-Screening-For-Retinopathy-Of-Prematurity-How-The-Ideal-Screening-Program-Should-BeRetinopathy of prematurityscreening criteriabirth weightgestational age
spellingShingle Ebru Esen
Elif Erdem
Kemal Yar
Results of Screening for Retinopathy of Prematurity: How the Ideal Screening Program Should Be?
Türk Oftalmoloji Dergisi
Retinopathy of prematurity
screening criteria
birth weight
gestational age
title Results of Screening for Retinopathy of Prematurity: How the Ideal Screening Program Should Be?
title_full Results of Screening for Retinopathy of Prematurity: How the Ideal Screening Program Should Be?
title_fullStr Results of Screening for Retinopathy of Prematurity: How the Ideal Screening Program Should Be?
title_full_unstemmed Results of Screening for Retinopathy of Prematurity: How the Ideal Screening Program Should Be?
title_short Results of Screening for Retinopathy of Prematurity: How the Ideal Screening Program Should Be?
title_sort results of screening for retinopathy of prematurity how the ideal screening program should be
topic Retinopathy of prematurity
screening criteria
birth weight
gestational age
url http://www.oftalmoloji.org/article_2343/Results-Of-Screening-For-Retinopathy-Of-Prematurity-How-The-Ideal-Screening-Program-Should-Be
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