A study of clinical profile and treatment outcome in pre term babies with retinopathy of prematurity
Journal Title: Indian Journal of Clinical and Experimental Ophthalmology - Year 2018, Vol 4, Issue 3
Abstract
Context Study of disease and treatment pattern is a key to developing database of Retinopathy of Prematurity ROP in IndiaAim To evaluate the pattern of ROP timing of laser and immediate post laser complications at a tertiary care referral hospitalStudy Design A retrospective analysis of medical records of preterm babies screened for ROP from 2008 to 2013 was performedMaterials and Methods International classification of ROP was adopted to stage the disease Information on various parameters including BW GA and stage of ROP treatment details chronological and post menstrual age CA and PMA at laser number of sittings and immediate complications following laser were collectedResult In total records of 233 preterm infants were reviewed Among the babies screened 64 278 had ROP out of these 36 babies underwent laser ablation In one baby with rigid pupil intravitreal anti Vascular Endothelial Growth factor VEGF was given prior to laser PMA at laser was 30 48 weeks and the chronological age was 418 weeks PMA at laser of APROP babies was 30 to 32 weeks and the CA at laser was 4 weeks Post laser complications were recorded in 6 APROP babies All treated eyes had a favourable outcome except in one eye disease progressed to stage 4B ROP requiring lens sparing vitrectomyConclusion The study reaffirms the role of GA as the most critical factor in determining the number and severity of ROP The study validates the need for early screening at 2 weeks Immediate post laser complications the characteristic of APROP supports single sitting as the most convenient approach to laserKeywords Birth weight Chronological age Gestational age Laser therapy PMA Preterm infant Retinopathy of prematurity Screening
Authors and Affiliations
Anupama B, Rashmi Jain, Vidya Hegde, Shyam Sudhir
Keywords
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- EP ID EP474264
- DOI 10.18231/2395-1451.2018.0081
- Views 77
- Downloads 0
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