Demographic Profile of Infants with Stage 5 Retinopathy of Prematurity in North India: Implications for Screening

Sanghi, Gaurav; Dogra, Mangat R; Katoch, Deeksha; Ak, Gupta

doi:10.3109/09286586.2010.551575

Cited by 36 publications

(34 citation statements)

References 8 publications

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“…The incidence of treatable ROP is~5e10% and this accounts for >60,000 infants annually who may progress to treatment requiring disease in India alone [17]. With <100 ROP specialists, most of whom practice in the cities, the vast majority of rural preterm infants remain unscreened, or are screened too late when they present with stage 5 disease to tertiary care centers in larger cities [18].…”

Section: Introductionmentioning

confidence: 99%

Role of tele-medicine in retinopathy of prematurity screening in rural outreach centers in India – a report of 20,214 imaging sessions in the KIDROP program

Vinekar

Jayadev

Mangalesh

et al. 2015

Seminars in Fetal and Neonatal Medicine

109

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Middle-income countries such as India are suffering from the third epidemic of retinopathy of prematurity (ROP). Improved survival and lower infant mortality rates have resulted in an increased number of preterm survivors in rural areas that unfortunately lack ROP specialists. We report our experience of a public-private partnership in rural India of an ongoing telemedicine program Karnataka Internet Assisted Diagnosis of Retinopathy of Prematurity program KIDROP that provides ROP screening by non-physicians. The analysis of 20,214 imaging sessions of 7106 from 36 rural centers in 77 months of activity are presented. The overall incidence of any stage and treatment requiring ROP was 22.39% and 3.57% respectively. We found a higher incidence of severe ROP in private (7.1%) vs government centers (1.7%). Fifty of the 254 babies (19.69%) who underwent treatment were outside the American screening guidelines cut-off. The report compares other "real-world" tele-ROP programs, summarizes the impact, and provides future strategies for outreach ROP screening in middle-income countries.

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Section: Introductionmentioning

confidence: 99%

Role of tele-medicine in retinopathy of prematurity screening in rural outreach centers in India – a report of 20,214 imaging sessions in the KIDROP program

Vinekar

Jayadev

Mangalesh

et al. 2015

Seminars in Fetal and Neonatal Medicine

109

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show abstract

“…A similar trend was also observed from other series published from India (Table 5). 8,9,14,18,19 This reflects the failure of very small infants to thrive and also the inadequate reach of screening activities compared with developed countries. Screening and laser at the appropriate time would have avoided progression needing surgery.…”

Section: Discussionmentioning

confidence: 97%

Vitreoretinal surgery for advanced retinopathy of prematurity: Presentation and outcomes from a developing country

Gadkari

Kamdar

Kulkarni

et al. 2015

Canadian Journal of Ophthalmology

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“…[23] Persistent variability in quality of neonatal care and shortage of adequately trained ophthalmologists are concerning in view of the emerging international ROP “epidemic.”[3456] Poor accessibility and lack of awareness among parents as well as health-care providers result in late presentation and irreversible damage. [78]…”

Section: Introductionmentioning

confidence: 99%

A mobile team for screening of retinopathy of prematurity in India: Cost - effectiveness, outcomes, and impact assessment

Kelkar¹,

Kelkar²,

Sharma³

et al. 2017

Taiwan J Ophthalmol

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PURPOSE:To study the cost effectiveness, outcomes and impact of retinopathy of prematurity (ROP) screening and management model for urban neonatal intensive care units (NICUs).STUDY DESIGN:Public health intervention study.METHODS:This study was conducted in 2013. Staff of a mobile unit assessed all infants aged less than 34 weeks of Gestation age at birth and/or birth weight 1700 GM or less admitted in five NICUs between 2013 and 2015. A trained ophthalmologist performed bedside ROP screening through dilated pupils using indirect ophthalmoscope. ROP was graded and managed as per the International Classification of Retinopathy of Prematurity treatment guidelines. Counseling and laser treatment were the interventions. The incidence, grade and determinants of ROP were estimated. Direct and indirect costs were calculated to estimate the unit cost of screening and managing a child with ROP using the model.RESULTS:The study sample included 102 preterm/underweight infants. The prevalence of ROP of different grades in either eye was 32% (95% Confidence Intervals (CI): 23.2–41.5). ROP stage I was present in 75% of these eyes. The model could help in preventing/reducing visual disability in 4 infants with advanced stages of ROP. The unit cost of ROP screening, identifying one child with ROP and addressing visual disability due to ROP was US $ 198.9, 596.7 and 4,137.4 respectively.CONCLUSION:A mobile screening is likely feasible and cost-effective method to detect ROP and offer timely intervention for NICU in urban areas with limited resources.

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Demographic Profile of Infants with Stage 5 Retinopathy of Prematurity in North India: Implications for Screening

Abstract: Our study shows that lack of screening is responsible for stage 5 ROP in outborn infants. More needs to be done to spread awareness about the disease. Broader screening guidelines are needed to ensure screening for infants>1500 g birth weight.

Cited by 36 publications

References 8 publications

Role of tele-medicine in retinopathy of prematurity screening in rural outreach centers in India – a report of 20,214 imaging sessions in the KIDROP program

Role of tele-medicine in retinopathy of prematurity screening in rural outreach centers in India – a report of 20,214 imaging sessions in the KIDROP program

Vitreoretinal surgery for advanced retinopathy of prematurity: Presentation and outcomes from a developing country

A mobile team for screening of retinopathy of prematurity in India: Cost - effectiveness, outcomes, and impact assessment

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