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Retinopathy of prematurity prevention, screening and treatment programmes: Progress in South America
Juan Carlos Silva1, Andrea Zin2, Clare Gilbert3
1Pan-American Health Organization-PAHO, Calle 66 # 11 - 50, Bogotá, Colombia.
Insights
Retinopathy of prematurity (ROP) remains a leading cause of childhood blindness in Latin America. While screening and treatment have improved, wider implementation of national protocols and resources, potentially via telemedicine, is crucial for comprehensive coverage.
Area of Science:
- Ophthalmology
- Public Health
- Neonatology
Background:
- Retinopathy of prematurity (ROP) is a significant cause of blindness and visual impairment in Latin America.
- Prevention, detection, and treatment of ROP have been regional priorities for the past 20 years.
Purpose of the Study:
- To assess the progress and challenges in ROP screening and treatment across Latin America.
- To identify areas for improvement in national protocols, legislation, and service delivery for ROP.
Main Methods:
- Review of ROP screening and treatment initiatives in Latin American countries.
- Analysis of national regulations and service availability in different provinces.
Main Results:
- Progress noted in screening and treatment in about half of the countries with established ROP regulations.
- Screening is not yet universally available in all provinces within most countries.
- Significant gaps remain in national protocols, legislation, and human resource capacity.
Conclusions:
- Continued effort is required to expand ROP prevention, detection, and treatment services nationwide.
- Strengthening national frameworks and human resources is essential for universal coverage.
- Telemedicine presents a promising strategy to overcome existing barriers and improve ROP care access.
Abstract:
Retinopathy of prematurity (ROP) is the main cause of blindness and visual impairment in Latin America and prevention, detection and treatment have been a priority in the Region in the last two decades. There is progress in the number of eligible babies screened and treated in at least half of the countries with strong regulations on ROP, but screening is not yet available in all provinces in most. More effort is needed to increase national protocols and legislation, strengthening of services and human resources to cover all national provinces; telemedicine might be a promising strategy.
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