| Screening for retinopathy of prematurity: results of a 7-year study of underweight newborns. | |
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MedLine Citation:
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PMID: 17416292 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Retinopathy of prematurity (ROP) is a serious complication of treatment and extension of survival in premature infants and leads to blindness unless recognized and treated early. An ROP prospective screening survey was performed, enrolling all premature newborns weighing <2000 g at delivery. METHODS: A total of 2014 infants had a retinal evaluation by indirect ophthalmoscopy at 4-6 weeks of age. If any ROP stage was detected, the patient was followed periodically to assess treatment. All premature infants with threshold retinopathy were treated by transscleral cryotherapy at the time of detection. RESULTS: We found 449 infants (22.2%) with ROP in any stage, and 230 (11.42%) with threshold retinopathy who underwent cryotherapy. In the 500-1000 g group (n = 334), 48.2% had ROP in any stage and 92 (27.5%) had threshold retinopathy. In the 1001-1500 g group (n = 1374), 257 (18.7%) had any ROP stage and 122 (8.8%) had stage 3. In the 1501-2000 g group, 306 neonates were evaluated, 31 (10%) had any ROP stage and 16 (5.2%) underwent cryotherapy. A total of 198/230 infants (86%) with threshold retinopathy who received cryotherapy had complete recovery, but 5% developed unilateral and 9% bilateral retinal detachment. There were no complications related to anesthesia. CONCLUSIONS: Overall ROP rate was 2.68/1000 deliveries and 22.2% of premature infants <2000 g had any ROP stage, 11.42% with retinal detachment risk received cryotherapy with 86% successful results. |
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Authors:
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Roberto Flores-Santos; Miguel Angel Hernández-Cabrera; Ricardo Jorge Henández-Herrera; Francisco Sepúlveda-Cañamar |
Publication Detail:
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Type: Journal Article Date: 2007-03-06 |
Journal Detail:
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Title: Archives of medical research Volume: 38 ISSN: 0188-4409 ISO Abbreviation: Arch. Med. Res. Publication Date: 2007 May |
Date Detail:
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Created Date: 2007-04-09 Completed Date: 2007-06-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9312706 Medline TA: Arch Med Res Country: United States |
Other Details:
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Languages: eng Pagination: 440-3 Citation Subset: IM |
Affiliation:
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Division of Neonatology and Ophthalmology, Hospital Dr. Ignacio Morones Prieto, Monterrey, Nuevo León, Mexico. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Female Humans Infant, Low Birth Weight* Infant, Newborn Infant, Premature* Male Mass Screening Mexico / epidemiology Ophthalmoscopy Prevalence Retinopathy of Prematurity / epidemiology* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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