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Retinopathy of Prematurity among Syrian Refugees: Incidence and Severity
1Ophthalmology Department, Sanliurfa Education and Research Hospital, Sanliurfa, Turkey.
Insights
Premature newborns of Syrian refugees had a significantly higher incidence of severe retinopathy of prematurity (ROP) compared to Turkish newborns. This finding highlights potential health disparities in refugee populations.
Area of Science:
- Ophthalmology
- Neonatology
- Public Health
Background:
- Retinopathy of prematurity (ROP) is a significant cause of visual impairment in premature infants.
- Understanding ROP incidence across different demographic groups is crucial for targeted interventions.
Purpose of the Study:
- To compare the incidence and severity of ROP in premature infants born to Syrian refugee mothers versus those of Turkish origin.
- To identify potential disparities in ROP outcomes between these two distinct populations.
Main Methods:
- Retrospective, single-center study of 1545 premature infants (2014-2017).
- Infants categorized into two groups: Turkish origin (n=1366) and Syrian refugees (n=179).
- Standardized ROP screening by an experienced ophthalmologist; data on gestational age, birth weight, and ROP severity collected.
Main Results:
- Mean gestational age was lower in the Syrian refugee group (p=0.03).
- Overall ROP incidence was similar between groups.
- Severe ROP incidence was nearly seven times higher in the Syrian refugee group (10%) compared to the Turkish group (1.5%).
Conclusions:
- Premature infants of Syrian refugees exhibit a substantially higher incidence of severe ROP.
- These findings underscore potential ongoing health challenges within the Syrian refugee population.
- This highlights the need for focused ROP screening and care for vulnerable refugee newborns.
Purpose:
The aim of this study is to compare the incidence and severity of retinopathy of prematurity (ROP) in premature newborns of Syrian refugees and those of Turkish origin.
Methods:
This retrospective, the single-center study included 1545 premature infants assigned to two groups based on maternal origin. Group 1 comprised 1366 premature infants of Turkish origin, and Group II comprised 179 premature infants born to Syrian refugees. All the premature infants were screened for ROP by the same ophthalmologist who is experienced in the screening and treatment of ROP. All data including gestational age (GA), birth weight (BW), the presence of ROP, and severe ROP collected from 2014 to 2017 were recorded for each group. The outcomes were compared between the two groups.
Results:
The mean GA at birth was 30.6 ± 2 weeks and was significantly lower in Group II (P = 0.03). The overall incidence of ROP was similar in both groups. The incidence of severe ROP in Group II was nearly seven times higher than in Group I (1.5% and 10%, respectively). The incidence of severe ROP seen in Group II evaluated according to different ranges of GA and BW was higher than in Group I.
Conclusion:
The higher incidence of severe ROP in the premature newborns of Syrian refugees could play an important role in identifying ongoing health problems of refugees.
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