Document Detail

Importance of the 'third criterion' for retinopathy of prematurity screening in developing countries.
MedLine Citation:
PMID:  19928736     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Developing countries often need a modification of the American screening guidelines for retinopathy of prematurity. METHODS: A total of 1,302 eyes in 651 infants with retinopathy of prematurity were analyzed by the parameters of gestational age and birth weight suggested by the American guidelines. RESULTS: With the use of current gestational age and birth weight guidelines, 86 of 1,302 eyes (6.6%) were missed, and 38 of these eyes (2.9%) had potentially treatable or more severe retinopathy of prematurity and were in need of treatment. CONCLUSION: Use of the "third criterion" (ie, neonatologist referral of sick infants who were believed to be at high risk for retinopathy of prematurity), enabled larger infants who were otherwise missed by the American guidelines to be included for screening. Even when the parameters were increased, a relatively small number of infants was still missed. Therefore, in view of the limited resources and manpower in developing countries, the American screening guidelines are appropriate.
Rajvardhan Azad; Parijat Chandra; Sourabh D Patwardhan; Aparna Gupta
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-11-18
Journal Detail:
Title:  Journal of pediatric ophthalmology and strabismus     Volume:  46     ISSN:  0191-3913     ISO Abbreviation:  J Pediatr Ophthalmol Strabismus     Publication Date:    2009 Nov-Dec
Date Detail:
Created Date:  2009-11-25     Completed Date:  2010-01-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7901143     Medline TA:  J Pediatr Ophthalmol Strabismus     Country:  United States    
Other Details:
Languages:  eng     Pagination:  332-4; quiz 335-6     Citation Subset:  IM    
Copyright Information:
Copyright 2009, SLACK Incorporated.
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
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MeSH Terms
Birth Weight
Developing Countries*
Gestational Age
Infant, Newborn
Mass Screening / standards*
Practice Guidelines as Topic
Retinopathy of Prematurity / diagnosis*
Retrospective Studies
Risk Factors
Comment In:
J Pediatr Ophthalmol Strabismus. 2009 Nov-Dec;46(6):331   [PMID:  19928735 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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