Potential for a paradigm change in the detection of retinopathy of prematurity requiring treatment
نویسندگان
چکیده
THE INCREASING INCIDENCE OF BLINDNESS DUE TO RETINOPATHY OF PREMATURITY Retinopathy of prematurity (ROP) is a major cause of potentially avoidable blindness in children in the middle-income countries of Latin America and Eastern Europe, and is becoming a public health problem in Asia. Indeed, the earlier estimate that there were 50 000–60 000 children worldwide who were blind from ROP is a marked underestimate, as a recent systematic review suggests that annually 20 000 infants (uncertainty range 15 500–27 200) became blind or severely visually impairment from ROP worldwide in 2010, with a further 12 300 (8300–18 400) being visually impaired. Asia has the highest number, reflecting the rapid expansion of services for preterm infants in the region. 5 The rate of severe visual loss from ROP is 1.8–2.6 times higher per million births in East Asia, the Pacific region, Latin America and Eastern Europe than in high-income countries, reflecting both a higher incidence of severe ROP and inadequate detection and treatment. The recognition that prematurity is a major cause of infant and under five mortality rates is leading to rapid expansion of neonatal care in many countries such as India, China and Russia, which will put an increasing number of infants at risk of ROP. Visual loss from ROP will continue to increase in low-income and middle-income countries with improving preterm survival rates unless there are dramatic improvements in neonatal care coupled with higher coverage of highquality services for the detection and treatment of ROP.
منابع مشابه
Transpupillary Diode Laser Retinal Photocoagulation for the Treatment of Retinopathy of Prematurity: Experience in Southern Iran
متن کامل
Evaluation of Risk Factors for Retinopathy of Prematurity in Preterm Neonates
Background: The most common cause of preventable blindness in children is retinopathy of prematurity (ROP). The most important risk factors for this disease are preterm delivery and low birth weight (LBW). This research was performed to evaluate the prevalence ofand risk factors for ROP in preterm neonates. Methods: Our research was a cross-sectional descriptive and retrospective study conduct...
متن کاملPrevalence and related factors of retinopathy of prematurity (ROP) in preterm infants in ophthalmology clinic of Birjand University of Medical Science from 2014 to 2016
Introduction: The prevalence of retinopathy of prematurity is expected to increase along with the developing of premature infants’ care and better prognosis of these infants. The aim of this study was to evaluate the prevalence of retinopathy of prematurity in preterm infants. Methods: According to this cross-sectional study, one same ophthalmologist examined the eyes of all the babies at 4 we...
متن کاملEfficacy of wide-field digital retinal imaging for retinopathy of prematurity screening.
BACKGROUND To evaluate the efficacy of wide-field digital retinal imaging for retinopathy of prematurity screening. DESIGN Retrospective study in a quaternary public neonatal intensive care unit. PARTICIPANTS A total of 108 premature infants screened for retinopathy of prematurity. METHODS Retrospective chart and photo review were performed on participants screened by both serial wide-fie...
متن کاملThe Incidence Rate of Retinopathy of Prematurity and Related Risk Factors: a Study on premature neonates hospitalized in two hospitals in Sari, Iran, 2014-2015
Background & Aims: Retinopathy OF prematurity (ROP) is a developmental disorder of retinal vessels in premature neonates. In recent years, because of advances in the care of neonates hospitalized in equipped Intensive care units, retinopathy of prematurity has become a major cause of blindness in those who are survived. This study assessed the incidence and severity of retinopathy and related r...
متن کامل