Retinopathy of Prematurity; Risk Factors, Prognosis and Treatment
Purpose: To evaluate the prevalence, related risk factors, treatment and follow-up results in cases of retinopathy of prematurity (ROP). Material and Method: Medical records of 405 premature infants who attended our clinic between August 1999 and September 2004 were retrospectively screened. Amon...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Publishing House
2011-06-01
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| Series: | Türk Oftalmoloji Dergisi |
| Subjects: | |
| Online Access: | http://www.oftalmoloji.org/article_1349/Retinopathy-Of-Prematurity-Risk-Factors-Prognosis-And-Treatment |
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| Summary: | Purpose: To evaluate the prevalence, related risk factors, treatment and follow-up results in cases of retinopathy of prematurity
(ROP).
Material and Method: Medical records of 405 premature infants who attended our clinic between August 1999 and September
2004 were retrospectively screened. Among these patients, 379 infants were followed up in our neonatology unit and 26 were
referred to us from other clinics. Indirect diode laser photocoagulation and/or cryotherapy were performed when prethreshold
or threshold ROP was detected. Surgery was performed in stage IV-V ROP.
Results: ROP was detected in 88 out of 405 infants (21.72%). At the first examination, stage I ROP was detected in 18
eyes (10.4%), stage II - in 67 eyes (38.72%), stage III - in 82 eyes (47.39%), and stage IV-V – in 6 eyes (3.46%). Indirect
diode laser photocoagulation was applied to 34 eyes with stage II and in 47 eyes with stage III ROP. Ten eyes with threshold
ROP and 4 eyes which progressed to threshold ROP were treated with cryotherapy. Scleral buckling was performed
in 3 eyes that progressed to stage IV ROP. At the first examination, 2 eyes with stage IV-V ROP were treated with pars
plana vitrectomy (PPV).
Discussion: In our series, the most important risk factors for development and progression of ROP were found to be
low birth weight, low gestational age, mechanical ventilation and multiple pregnancy. Effective screening, follow-up and
appropriate treatment are important for prevention of permanent damage and unfavorable outcome in ROP. (Turk J
Ophthalmol 2011; 41: 128-32 |
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| ISSN: | 1300-0659 2147-2661 |