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.

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