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Modification of Screening Criteria for Retinopathy of Prematurity in India and Other Middle-Income Countries

https://doi.org/10.1016/j.ajo.2005.12.016Get rights and content

Purpose

To determine the gestational age and birth weight of premature babies who developed vision-threatening severe retinopathy of prematurity.

Design

Prospective observational study of babies at risk of blindness due to retinopathy of prematurity.

Methods

Data pertaining to all babies who underwent laser treatment or surgery for acute retinopathy of prematurity and those who had cicatricial retinopathy of prematurity were prospectively collected. The gestational age and birth weight were evaluated to establish screening criteria.

Results

In 120 babies, the mean gestational age was 29.6 weeks (range 26 to 36 weeks). The birth weight of 115 babies ranged from 710 to 2000 g (mean 1254.5 g, SD 280.8). Birth weight was not available for five babies. Only one baby had a gestational age of >35 weeks.

Conclusions

Ocular morbidity related to retinopathy of prematurity was seen in bigger and more mature babies. This study provides a scientific basis for establishing screening criteria for retinopathy of prematurity in South India and other middle-income countries.

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  • Retinopathy of prematurity: guidelines for screening and treatment. Report of a Joint Working Party of the Royal College of Ophthalmologists and British Association of Perinatal Medicine

    Early Hum Dev

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  • Screening examination of premature infants for retinopathy of prematurity

    Pediatrics

    (2001)
There are more references available in the full text version of this article.

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    Citation Excerpt :

    The mean birth weight of the patients having APROP in our series was 1242.1±251.3 g (range, 770–1650 g) and PMA was 28.9±2.3 weeks (range, 23–32 weeks). These findings are similar to the studies showing the incidence of severe ROP in bigger babies in the Asian population and in southern Indian babies.34–37 In the present study, recurrence rate was 6.8%.

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This study was supported by the Hyderabad Eye Institute.

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