فراوانی رتینوپاتی نوزادان نارس در مرکز مراقبت های ویژه نوزادان بیمارستان بوعلی سینا ساری در سال 1380

Background and purpose: Retinopathy of premature neonates (RÔP) is a lesion in the retina of under weight neonates at birth, which can lead to blindness. Âim of this study is to report the prevalence and severity of this complication in the intensive care unit of sari Boali sina hospital. Materials and methods: Ïn this descriptive- cross sectional study which was followed by clinical examinations, laboratory findings and by referring to the filled questionnair, 68 neonates met the necessary criteria, were selected. Neonates under study were under eye examinations at the time of discharge (4 weeks) from hospital, 6 to 8 weeks after brith. Then each 2- week till complete development and vascularization of retina, statistical analysis of the results was done by mean comparison of two societies. Results : Prevalence of RÔP was generally 11.7 % and severity of RÔP at stage 3 or greater was 1.4 % . No case of RÔP at gestational age of more than 34 weeks was observed. Most cases of RÔP were observed in the neonates under 1500 grams weight at birth, but birth cases up to 2500 grams weight were observed too. There was significant statistical difference between duration of phototherapy, high level of Pco2, Severity of respiratory distress and RÔP. Çonclusion: Çonsidering the difference in the rate of prevalence and severity of RÔP as compare with the given reports from the western countries, it seems that national RÔP prediction needs to be evaluated.