Analysis of Retinopathy of Prematurity in a Tertiary Care Hospital
Journal Title: Ophthalmology Research: An International Journal - Year 2017, Vol 7, Issue 4
Abstract
Aim: To analyse different parameters responsible for occurrence of retinopathy of prematurity (ROP) in neonatal care unit of a tertiary care hospital and to study the associated risk factors. Materials and Methods: A prospective analytical study was carried out at NICU of KIMS Hospital Hubli, Karnataka. A total of 140 babies with gestational age at birth less than 34 weeks and birth weight less than 1750 grams were examined. Associated prenatal, intranatal and postnatal history was noted down. Results: Incidence of ROP was found to be 27.14%. Among 140 babies screened. ROP was found in 38 babies among which 20 were males and 18 were females. Stage 1 ROP was in 11 babies (7.85%), stage 2 ROP in 24 babies (17.14%), stage 3 ROP in 2 babies (1.42%) and Aggressive Posterior Retinopathy of Prematurity (APROP) was found in 1 baby (0.71%). Factors which were having association with ROP by univariate analysis are gestational age at birth (p=0.005), birth weight (p=0.005), respiratory distress syndrome (RDS) (p=0.017), oxygen therapy (p=0.020), sepsis (p=0.001) and blood transfusion (p=0.002). Among them factors which were having independent association by multivariate analysis are birth weight (p=0.007, Odds ratio 12.581), sepsis (p=0.022, Odds ratio 5.427), blood transfusion (p=0.009, Odds ratio 23.054). Conclusion: Incidence of ROP among screened babies is significant. All high risk babies should be screened for ROP and all eligible babies should be advised treatment. Risk factors which were having independent association with ROP are birth weight, sepsis and blood transfusion.
Authors and Affiliations
Rajashekar Dyaberi, Udaysridhar Mulgund, Rupesh Rakhonde
Calcinosis Cutis of the Eyelid
We report a case of calcinosis cutis presenting in the upper eyelid. These cases can mimic various conditions of the eyelid and diagnosis is usually done histopathologically. Though they are common occurrence for dermato...
Perimetry Comparisons for Octopus G Top and Dynamic Programmes versus Humphrey 24-2 SITA Fast and SITA Standard Programmes
Aims: Previous comparisons of Octopus and Humphrey threshold programmes have shown differences, particularly for depth of defects. Recent developments have altered the Octopus background illumination. Thus, we sought to...
Peculiar Case of Orbital Emphysema Caused by High-pressure Water Jet
Aim: To report an unusual case of orbital emphysema secondary to high pressure water jet injury. Presentation of Case: A 26-year-old Indian male sustained a two-centimeter facial laceration after a compressed water jet h...
Remission of Multiple Recurrent Dendriform Keratitis in Herpes Zoster Ophthalmicus after Long-term Oral Acyclovir Therapy
Dendriform keratitis is a recurrent sequelae of herpes zoster ophthalmicus (HZO). A 76-year-old immunocompetent Indian male with HZO developed left eye keratouveitis, uveitic glaucoma and superior orbital fissure syndrom...
Non-surgical Management of Bilateral Ectropion in a 5 hours Old Collodion Baby: A Case Report
Congenital bilateral upper eyelids eversion is rare clinical condition. However it is known to be associated with collodion baby, Down syndrome and children of black race. This condition responds well to early active con...