The challenge of screening for retinopathy of prematurity

Clare M Wilson; Anna L Ells; Alistair R Fielder

doi:10.1016/j.clp.2013.02.003

The challenge of screening for retinopathy of prematurity

Clin Perinatol. 2013 Jun;40(2):241-59. doi: 10.1016/j.clp.2013.02.003.

Authors

Clare M Wilson¹, Anna L Ells, Alistair R Fielder

Affiliation

¹ Department of Visual Neuroscience, UCL Institute of Ophthalmology, 11-43 Bath Street, London EC1V 9EL, UK. clare.wilson@ucl.ac.uk

PMID: 23719308
DOI: 10.1016/j.clp.2013.02.003

Abstract

Screening for retinopathy of prematurity (ROP) and the optimum treatment of sight-threatening disease requires detailed understanding of the infants at risk and timely identification. Despite a plethora of guidelines, not all populations and situations are adequately covered, so that what should be preventable visual disability still occurs. This article considers the design of screening guidelines and the possibility of a global guideline, although in certain parts of the world manpower for ROP screening is not available. Algorithms linked to the increase in weight of preterm infants over time may refine the number of babies needing to undergo treatment.

Publication types

Review

MeSH terms

Algorithms
Birth Weight
Blindness / prevention & control
Gestational Age
Humans
Infant, Newborn
Infant, Premature
Neonatal Screening* / methods
Neonatal Screening* / standards
Neonatal Screening* / trends
Practice Guidelines as Topic*
Retinopathy of Prematurity / diagnosis*
Retinopathy of Prematurity / prevention & control
Severity of Illness Index
Weight Gain