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Retinopathy of prematurity in India - what can we learn from the polio legacy?
Sam Ebenezer Athikarisamy1,2, Anand Vinekar3, Sanjay Patole1,2
1Neonatal Directorate, Child Adolescent Health Service, Perth, Western Australia, Australia.
Insights
Retinopathy of prematurity (ROP) screening is vital for preterm infants. Lessons from polio eradication can improve ROP services in India, addressing resource limitations and awareness gaps.
Area of Science:
- Ophthalmology
- Neonatology
- Public Health
Background:
- Retinopathy of prematurity (ROP) is a significant cause of vision impairment and blindness in preterm infants.
- Effective screening and treatment are crucial for managing ROP, especially in resource-limited settings like India.
- Increasing survival rates of preterm infants necessitates enhanced ROP services.
Purpose of the Study:
- To discuss the challenges of ROP screening and treatment in India.
- To propose a comprehensive, multi-sectoral approach to address ROP.
- To explore the application of strategies from the Global Polio Eradication Initiative (GPEI) for improving ROP care.
Main Methods:
- Review of current ROP screening and treatment challenges in India.
- Proposal of primary and secondary prevention strategies for ROP.
- Discussion of a neonatal-led care model for ROP management.
Main Results:
- Limited resources, a large at-risk population, and low awareness hinder ROP services in India.
- The GPEI model offers transferable strategies for enhancing ROP care in developing nations.
- A multi-sectoral, neonatal-led approach is essential for effective ROP prevention and management.
Conclusions:
- Addressing ROP in India requires a comprehensive strategy, learning from successful public health initiatives.
- Implementing lessons from the GPEI can significantly improve ROP outcomes.
- A neonatal-led care model is proposed to overcome current challenges in ROP services.
Abstract:
Retinopathy of prematurity (ROP) is a vasoproliferative disease of the preterm retina that has the potential to cause vision impairment and blindness. Timely screening and treatment are hence critical for infants at risk for ROP. Screening for ROP is challenging in India owing to the limited resources, a vast at-risk population and lack of awareness among paediatricians and the public. Addressing ROP in India requires a comprehensive approach involving multiple sectors, considering the magnitude of the problem and the expected increase in need for ROP services due to the increased survival of preterm infants following improvements in neonatal care. The success of the Global Polio Eradication Initiative (GPEI) offers valuable lessons for improving ROP services in developing nations by applying its strategies. An approach for primary and secondary prevention of ROP is proposed, and the current challenges and a neonatal-led care model for ROP are discussed.
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