Choosing wisely babies for retinopathy of prematurity screening is more important in low resource setting
Journal Title: Indian Journal of Clinical and Experimental Ophthalmology - Year 2018, Vol 4, Issue 1
Abstract
Design A prospective observational studySetting The study was conducted over a period of one year from 01072013 to 30062014 at a hospital attached to a newly established rural medical college in India located 45 km away from the regional eye centreSubjects All babies without exclusions were screened for retinopathy of prematurity ROP as per guidelines of National Neonatology Forum NNF of India ie babies born lt 34 weeks gestation andor lt 1750 g birth weight and the babies 3436 67 weeks gestation or 17502000 g birth weight with risk factors for ROPInterventions 53 babies were screened for ROP as per NNF guidelinesMain Outcome Measures 16 babies required laser therapy from the 53 babies that were screened over a period of one year All weighed 1500 g or less at birth Their GA was less than 33 weeks or lessConclusion BW 1500 g or less and or GA less than 34 weeks appear to be appropriate ROP screening criteria Applying NNF criteria no ROP would have been missed In 19 358 babies screening could have been avoided It is desirable to determine appropriate ROP screening criteria for a particular centre based on local evidenceKeywords Blindness in children Laser therapy Oxygen therapy Preterm baby Retinopathy of Prematurity
Authors and Affiliations
Subhashchandra Daga, Prajakta Sambare, Sucheta Kulkarni, Pravin Narwadkar, Chirag Bhalerao
Keywords
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- EP ID EP474192
- DOI 10.18231/2395-1451.2018.0018
- Views 85
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