1.Status of screening for retinopathy of prematurity in a tertiary hospital
Marcelino D Banzon ; Carlos S. Ladores
Philippine Journal of Ophthalmology 2010;35(2):61-64
Objective:
This study determined the status of screening for retinopathy of prematurity
(ROP) at a university hospital and correlated birth weight (BW) and age of
gestation (AOG)with ROP staging.
Methods:
Clinical records of premature babies referred for ROP screening from July
2007 to August 2008 were included in the study. They were reviewed if they
met the inclusion criteria of BW less than 1,500 grams and AOG less-than-28
weeks. These parameters were correlated with the ROP staging.
Results:
A total of 65 babies were included in the review, 20 (10 males and 10 females)
of whom met the criteria for ROP screening. Only 7 were seen by an
ophthalmologist. The mean BW was 1.35 kg with AOG of 32 to 33 weeks. Two
babies had stage-II ROP, 1 of whom improved after indirect laser treatment.
There was strong correlation between BW and ROP (r = –0.60, p = 0.13) and
between AOG and ROP (r = –0.56, p = 0.19), but the results did not reach
statistical significance.
Conclusion
Less than half of premature babies who met the inclusion criteria for ROP
screening were evaluated by an ophthalmologist. Ophthalmologists and
pediatricians should work together to increase the capture rate of ROP
screening among babies born preterm.
Retinopathy of Prematurity
;
Birth Weight
;
Sepsis
2.4-Year prevalence and outcome of initial screening for retinopathy of prematurity in a tertiary hospital
James Rommet D. Luz ; Marcelino Banzon
Philippine Journal of Ophthalmology 2013;38(2):103-108
Objective:
To determine the 4-year prevalence and outcome of initial screening for retinopathy of prematurity
(ROP) among newborn infants in a tertiary hospital.
Methodology:
Medical records of infants screened for ROP at a tertiary hospital were reviewed. Findings on
initial examination and outcomes on follow-up were recorded. Prevalence was determined using frequencies and
percentages. Statistical analyses correlating ROP to age of gestation and birth weight were done using chi square.
Results:
Fifty eyes of 25 infants, 9 boys and 16 girls with mean birth weight (BW) of 1318 grams and mean age of
gestation (AOG) of 31 weeks, were included in the study. Nine eyes were positive for ROP with a prevalence of 18%.
One eye had stage 4 zone II ROP with plus disease. Three eyes had stage 3 ROP with plus disease. Five eyes had
Stage 1 zone III ROP. Regression was noted on follow-up after treatment. Statistical analysis revealed no significant
correlation between BW and ROP staging (χ2
= 6.50) but significant correlation between AOG and ROP staging
(χ2
= 13.69).
Conclusion
Despite the increasing prevalence of retinopathy of prematurity worldwide, only a small number of
infants were identified on initial screening at a tertiary hospital from 2008 to 2012. Some of these patients came
back for follow up and showed significant improvement from baseline after treatment. There was a significant
correlation between AOG and ROP staging.
Retinopathy of Prematurity
;
Mass Screening
;
Birth Weight