Document Detail


Incidence of retinopathy of prematurity in a neonatal intensive care unit in Nepal.
MedLine Citation:
PMID:  19928699     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: To determine the incidence of retinopathy of prematurity (ROP) in low birth weight premature infants admitted to the neonatal intensive care unit of a children's hospital in Kathmandu.
METHODS: A hospital-based prospective study was performed in neonates with a gestational age of less than 36 weeks or birth weight of less than 2,000 g during 1 year. Ophthalmologic examination was performed 2 to 4 weeks after birth and patients were observed until the retinal vascularization was complete. ROP was classified using the revised International Classification of Retinopathy of Prematurity.
RESULTS: A total of 78 infants fulfilled the screening criteria. ROP was detected in 29.5% (n = 23) of neonates. Thirteen infants (16.7%) had stage 1 disease and 5 each (6.4%) were found to have stage 2 and stage 3 ROP. Threshold disease was present in 3.8% (n = 3) of infants with a gestational age of less than 32 weeks and birth weight less than 1,500 g who required laser treatment per Early Treatment of ROP criteria. Low birth weight (P < .01) and low gestational age (P < .01) were significantly associated with the incidence of ROP.
CONCLUSION: Prematurity and low birth weight were found to be major risk factors for ROP. ROP screening should be performed in such infants for early detection because its incidence is likely to increase as more premature infants survive with improved neonatal care.
Authors:
Jyoti Baba Shrestha; Sanyam Bajimaya; Anand Sharma; Jeevan Shresthal; Purna Karmacharya
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Publication Detail:
Type:  Journal Article     Date:  2009-11-23
Journal Detail:
Title:  Journal of pediatric ophthalmology and strabismus     Volume:  47     ISSN:  0191-3913     ISO Abbreviation:  J Pediatr Ophthalmol Strabismus     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-09-17     Completed Date:  2011-01-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7901143     Medline TA:  J Pediatr Ophthalmol Strabismus     Country:  United States    
Other Details:
Languages:  eng     Pagination:  297-300     Citation Subset:  IM    
Copyright Information:
Copyright 2010, SLACK Incorporated.
Affiliation:
B. P. Koirala Lions Centre for Ophthalmic Studies, Institute of Medicine, Maharajgunj, Kathmandu, Nepal.
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MeSH Terms
Descriptor/Qualifier:
Birth Weight
Female
Gestational Age
Humans
Incidence
Infant, Newborn
Intensive Care Units, Neonatal / statistics & numerical data*
Male
Nepal / epidemiology
Prospective Studies
Retinopathy of Prematurity / classification,  diagnosis,  epidemiology*
Risk Factors

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


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