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Published on: April 2, 2021
[Retinopathy of prematurity]
C Jandeck1, U Kellner, M H Foerster
1Universitätsaugenklinik Charité - Universitätsmedizin Berlin, Berlin. claudia.jandeck@charite.de
Insights
Retinopathy of prematurity (ROP) remains a significant concern despite advances in neonatal care. Early ophthalmologic screening and timely laser treatment for advanced ROP are crucial for preventing blindness in premature infants.
Area of Science:
- Ophthalmology
- Neonatology
- Pediatric Medicine
Context:
- Premature infants face significant risks for vision impairment, particularly retinopathy of prematurity (ROP).
- Advances in neonatal intensive care have increased survival rates of extremely premature infants, but ROP incidence remains high.
- ROP is a leading cause of preventable childhood blindness globally.
Purpose:
- To review current knowledge and recent clinical advances in retinopathy of prematurity (ROP).
- To discuss the pathophysiology, classification, and epidemiology of ROP.
- To summarize treatment strategies, outcomes, and future therapeutic options for ROP.
Summary:
- This review covers the history, classification, and pathophysiology of ROP.
- It summarizes findings from multicenter treatment trials and discusses current screening guidelines (German and international).
- Therapeutic strategies, treatment outcomes, and potential future therapies like anti-angiogenic factors are explored.
Impact:
- Highlights the importance of timely ophthalmologic screening and laser treatment in preventing ROP-related blindness.
- Addresses the long-term ophthalmologic sequelae in preterm infants, including amblyopia, strabismus, and refractive errors.
- Informs clinical practice and research directions for managing and potentially preventing retinopathy of prematurity.
Abstract:
This review summarizes the knowledge and highlights recent advances in clinical research of retinopathy of prematurity (ROP). This disease is still important, because improvements in neonatal intensive care during the last years have increased the survival of the most immature newborns, but did not diminish the ROP frequency. Ophthalmologic screening and, if applicable, laser treatment at the optimal time for advanced ROP prevents blindness in most cases. The history, classification and the modern concepts of ROP pathophysiology are described. The results of various multicenter treatment trials are summarized. The current German screening guidelines are discussed with the guidelines of other nations. The therapeutic treatment strategies and the treatment results are discussed. The ophthalmologic disorders of former preterm infants, as higher rates of amblyopia, strabismus, and refractive error, are mentioned. Possible future therapies, e. g. anti-angiogenic factors are discussed.
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