MVP Journal of Medical Sciences

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Retinopathy of Prematurity Screening in a Tertiary Care Centre


Affiliations
1 PG Resident, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College and Hospital, Research Centre, Nasik – 422003, Maharashtra, India
2 Associate Professor, Department of Ophthalmology, Dr. Vasantrao Pawar Institute of Medical Sciences and Research, Nashik – 422003, Maharashtra, India
3 Professor and HOD, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College and Hospital, Research Centre, Nashik – 422003, Maharashtra, India
 

Background: To conduct an effective ROP screening program according to the Indian standard needs and to identify the infants who could benefit from treatment and make appropriate recommendations on the timing of future screening. Aims and Objectives: To estimate the incidence of ROP among Premature infants. Materials and Methods: A Prospective Observational study of 2 years in which 170 patients were screened with following criteria: GA at birth of ≤35 weeks, BW <1700 gms, exposed to oxygen >30days, other factors that can increase the risk of ROP and where screening should be considered are premature babies >37 weeks and >1700gms but with the first screening was done within 4 weeks (30 days) of life in infants with age >28 weeks of GA, 2-3 weeks after birth if GA <28 weeks or BW is <1200gms. Results: Out of the 170 babies screened 35 babies had ROP. Incidence of ROP in our study was 20.59%. The sensitivity of AAP and UKRCPCH guidelines to ours were 77.14% and 60% respectively. Conclusion: ROP may be seen in heavier and larger babies in India that have consequently a shorter window period for development of ROP, Hence, a criteria screening even larger babies should be taken into consideration.


Keywords

Birth Weight, Gestational Age, Retinopathy of Prematurity, Screening.
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  • Retinopathy of Prematurity Screening in a Tertiary Care Centre

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Authors

Miloni Suketu Shah
PG Resident, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College and Hospital, Research Centre, Nasik – 422003, Maharashtra, India
Ajit Gulabrao Khune
Associate Professor, Department of Ophthalmology, Dr. Vasantrao Pawar Institute of Medical Sciences and Research, Nashik – 422003, Maharashtra, India
Dhiraj Namdeo Balwir
Professor and HOD, Department of Ophthalmology, Dr. Vasantrao Pawar Medical College and Hospital, Research Centre, Nashik – 422003, Maharashtra, India

Abstract


Background: To conduct an effective ROP screening program according to the Indian standard needs and to identify the infants who could benefit from treatment and make appropriate recommendations on the timing of future screening. Aims and Objectives: To estimate the incidence of ROP among Premature infants. Materials and Methods: A Prospective Observational study of 2 years in which 170 patients were screened with following criteria: GA at birth of ≤35 weeks, BW <1700 gms, exposed to oxygen >30days, other factors that can increase the risk of ROP and where screening should be considered are premature babies >37 weeks and >1700gms but with the first screening was done within 4 weeks (30 days) of life in infants with age >28 weeks of GA, 2-3 weeks after birth if GA <28 weeks or BW is <1200gms. Results: Out of the 170 babies screened 35 babies had ROP. Incidence of ROP in our study was 20.59%. The sensitivity of AAP and UKRCPCH guidelines to ours were 77.14% and 60% respectively. Conclusion: ROP may be seen in heavier and larger babies in India that have consequently a shorter window period for development of ROP, Hence, a criteria screening even larger babies should be taken into consideration.


Keywords


Birth Weight, Gestational Age, Retinopathy of Prematurity, Screening.

References





DOI: https://doi.org/10.18311/mvpjms%2F2019%2Fv6i2%2F22915