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WHAT IS THE INCIDENCE OF RETINOPATHY OF PREMATURITY (ROP) IN 'BIG' BABIES?: RESULTS OF A RETROSPECTIVE MULTICENTER
Dilbade Yildiz Ekinci1, Adem Ugurlu2, Nurdan Gamze Tasli2
1Department of Ophthalmology, Diyarbakır Gazi Yasargil Training and Research Hospital, Diyarbakir, Turkey.
Ophthalmic Epidemiology
|July 14, 2020
Summary
Retinopathy of Prematurity (ROP) affects 14.1% of premature babies weighing ≥2000g in Turkey. Early screening is crucial as some infants develop advanced ROP requiring treatment.
Area of Science:
- Ophthalmology
- Neonatology
- Public Health
Background:
- Premature infants are at risk for Retinopathy of Prematurity (ROP).
- Limited data exists on ROP incidence and prognosis in premature infants with higher birth weights (BW).
Purpose of the Study:
- To determine the incidence of ROP in premature infants with a BW of ≥2000g.
- To investigate the prognosis and treatment needs for ROP in this population.
Main Methods:
- Retrospective analysis of 1004 infants with BW ≥2000g admitted to ROP centers between 2018-2019.
- Data collected included gestational age, BW, delivery type, oxygen therapy, and ROP characteristics (location, stage, vascularity, treatment).
- ROP classification followed the international guideline.
Main Results:
- ROP was diagnosed in 14.1% (144/1004) of infants.
- Most ROP cases were in Zone II (279/283 eyes) and Stage 1 (213/283 eyes).
- Only 0.85% (17/2008 eyes) required treatment, with 17 eyes having Type 1 ROP.
Conclusions:
- The incidence of ROP in infants with BW ≥2000g in Turkey is higher than in developed countries.
- These infants are susceptible to advanced ROP, necessitating inclusion in screening programs.
- Proactive screening can identify infants requiring intervention, improving long-term visual outcomes.
