Prevalence, risk factors and pattern of severe retinopathy of prematurity in eastern Madhya Pradesh

Anamika Dwivedi1, Deepak Dwivedi2, Sujata Lakhtakia1

  • 1Department of Ophthalmology, Shyam Shah Medical College, Rewa, Madhya Pradesh, India.

Insights

This study found a high prevalence of severe retinopathy of prematurity (ROP) in India, with late screening presentation being a key factor in ROP-related blindness. Early detection and intervention are crucial for preventing vision loss in premature infants.

Area of Science:

  • Ophthalmology
  • Neonatology
  • Public Health

Background:

  • Retinopathy of prematurity (ROP) is a significant cause of preventable blindness in premature infants.
  • Understanding the prevalence and risk factors of severe ROP is crucial for targeted interventions.

Purpose of the Study:

  • To determine the prevalence, characteristics, risk factors, and patterns of severe ROP.
  • To analyze factors associated with aggressive posterior ROP (APROP) and advanced ROP (stage IV and V).

Main Methods:

  • A 5-year retrospective study involving screening of 763 babies.
  • Analysis of baseline characteristics, systemic risk factors, and ROP screening findings.
  • Statistical analysis using SPSS version 20.

Main Results:

  • 30% of screened babies had ROP; 14.2% had severe ROP.
  • Low gestational age (GA) and birth weight (BW) were inversely associated with severe ROP.
  • Late presentation for screening was the most significant factor for advanced ROP (stage IV and V).

Conclusions:

  • High prevalence of severe ROP, including APROP, was observed.
  • A notable percentage of severe ROP cases fell outside current screening guidelines.
  • Timely screening is critical to prevent ROP-related blindness.
Abstract

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