Document Detail


Screening programme for retinopathy of prematurity in ilorin, Nigeria:a pilot study.
MedLine Citation:
PMID:  24488284     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: The Neonatal Intensive Care Unit (NICU)of our hospital has a 30% survival rate among babies born premature weighing <1,000g. This hospital serves about 10 million people; there was no retinopathy of prematurity (ROP) screening program in place in Nigeria.
MATERIALS AND METHODS: Babies born premature were recruited based on preset criteria: <35 weeks Gestation Age and birth weight <1.9kg. The first retina examination was done at 3-4 weeks post-delivery and were documented on a proforma and analyzed with SPSS 15 Statistical Package.
RESULTS: 58 eyes of 29 babies were examined. The birth weight range was 950-1900g, 17(58.6%) babies were <1500g, and 12 (41.4%) 1500-1900g. The Gestation age range was 27-35 weeks with a mean of 30. Avascularity in retina zones 2&3 was found in 52(89.6%) eyes mostly among babies <32weeks gestation age and <1500g. Risk factors associated with retinal avascularity are highlighted. The challenges were with co-ordination of follow-up visits and accessibility to treatment such as laser and newer treatment methods.
CONCLUSION: A cost effect screening criteria for ROP in Nigeria is suggested to include birth weight <1500g and gestational age<32 weeks. Dedicated staff & resources for treatment and imaging are needed for a successful program. An opportunity exists to study the effect of genetics on the development and severity of ROP among native African babies.
Authors:
D Ademola-Popoola; O Adesiyun; I A Durotoye; T O Obasa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  West African journal of medicine     Volume:  32     ISSN:  0189-160X     ISO Abbreviation:  West Afr J Med     Publication Date:    2013 Oct-Dec
Date Detail:
Created Date:  2014-02-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8301891     Medline TA:  West Afr J Med     Country:  Nigeria    
Other Details:
Languages:  eng; fre     Pagination:  281-5     Citation Subset:  IM    
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