Outcome of Aggressive Posterior Retinopathy of Prematurity in a Tertiary Care Hospital in South India
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 4
Abstract
Objective: The aim of this study is to assess the incidence, clinical pattern, factors associated and outcome of Aggressive Posterior Retinopathy of Prematurity (APROP) in a tertiary care hospital in South India. Methods: A prospective follow up study was done by screening 1738 preterm babies with gestational age <34 weeks and or birth weight <1500 grams for a period of four years from March 2012 to February 2016. ROP of any severity was present in 412 cases of which 18 cases had APROP. Regression pattern was assessed by fundus examination at periodic intervals. Structural and functional outcome were determined at the end of one year in babies with APROP. Diode laser photocoagulation was done in all cases and additional intravitreal bevacizumab injection was given in 6 eyes of 4 babies. Results: The incidence of APROP among the study population was 1.03% and among ROP cases were 4.37%. Important maternal risk factors were primigravida, multiple pregnancy and delivery by vaginal route. Significant postnatal risk factors included hyaline membrane disease and surfactant use. The mean post conceptional age of treatment was 32.2 weeks. Favourable structural outcome accounted for 90% of cases. Association of structural outcome with ROP parameters showed significance for pre retinal hemorrhage and fibro vascular proliferation. The predominant refractive error was myopia which was present in 17 eyes of which high myopia was present in 10 eyes. Strabismus was present in 8 eyes of 4 patients. Conclusions: Aggressive posterior form of ROP has reasonably good structural and functional outcome if detected and treated early even with laser. Pre retinal hemorrhage and fibro vascular proliferation are associated with poor structural outcome.
Authors and Affiliations
Anuja Sathar
Keywords
Related Articles
- EP ID EP285071
- DOI -
- Views 49
- Downloads 0
Psychiatric Comorbidities in Dhat Syndrome
Dhat syndrome is a culture-bound syndrome seen in the natives of Indian subcontinent. The word "Dhat" derives from the Sanskrit language word dhatu, meaning "metal," "elixir" or "constituent part of the body" which is co...
Assessment of Risk Factors Associated with Coronary Artery Diseases in a Study Population- A Clinical Study
Background: Coronary artery disease (CAD) is one of the most common causes of mortality and morbidity in general population in both developed and developing countries. It is a leading cause of death in India. The present...
A Case Report of Recurrent Foreign Body Sensation in Throat-Unusal Long Uvula
Recurrent foreign body sensation in throat is a distressing symptom for patients in routine ENT opd practice. Investigations of this patient with recuurent foreign body sensation can be simple or complex depending on the...
Study of Changes in the Serum Potassium Concentration after Thiopental in Childrens
Potassium is distributed throughout the body. It is concentrated mainly within the cell as the predominant cation. The kidney plays an important role in regulation of potassium levels. This study was undertaken with the...
Laparoscopic Surgery: Is it Essential to Close the Trocar Site Fascial Defects of 5 and 10 Millimeters in Diameter?
Background: Port Site Hernia (PSH) is potentially a serious complication of laparoscopic surgery. Many surgeons close the fascia, especially in those sites where a trocar diameter ≥10 mm is inserted. Suturing the fascia...