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.

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