Risk factors in the development of mild and severe retinopathy of prematurity

Imren Akkoyun1, Sibel Oto, Gursel Yilmaz

  • 1Department of Ophthalmology, Baskent University, Faculty of Medicine, Ankara, Turkey. imrena@baskent-ank.edu.tr

Insights

Low birth weight and respiratory distress syndrome are key risk factors for developing mild retinopathy of prematurity (ROP). Low birth weight is also a significant predictor of severe ROP progression.

Area of Science:

  • Neonatal care
  • Ophthalmology
  • Perinatal medicine

Background:

  • Retinopathy of prematurity (ROP) is a significant cause of visual impairment in premature infants.
  • Identifying risk factors is crucial for timely intervention and prevention of severe visual outcomes.

Purpose of the Study:

  • To identify and evaluate independent risk factors associated with the development of mild and severe retinopathy of prematurity (ROP).

Main Methods:

  • Retrospective analysis of 88 infants screened for ROP.
  • Infants classified into no ROP, mild ROP (Stage 1-2), and severe ROP (Stage 3) groups.
  • Logistic regression used to assess eight potential risk factors.

Main Results:

  • Birth weight (BW) and respiratory distress syndrome (RDS) were significant risk factors for mild ROP.
  • BW was a significant independent risk factor for progression to severe ROP.
  • Gestational age and BW were significant risk factors for severe ROP in treated infants.

Conclusions:

  • BW and RDS are independent risk factors for mild ROP.
  • BW is a critical independent risk factor for the development of severe ROP.
Abstract