Screening program for retinopathy of prematurity in Spain

Novella, C. Ferrer; Viejo, I. González; Royo, V. Pueyo; Fernández, R. Martínez; Galdós, Marta Barandiarán; Calvo, J. Peralta; Gómez, J. Abelairas; Palacios, Pilar Tejada; Begué, Nieves Martín; Wolley-Dod, Ch.; Portabella, S. Alarcón; Castanera, A. Serra; Ballús, M. Morales i; Castaño, Miguel Ángel Harto; Perez, R. Martinez-Costa; Rodríguez-Hurtado, Francisco Jorge; Serrano, José; Gómez, J. Escudero; Guillén, C. Morales; Ramos, M.T. Pastor; Ledesma, A. Galván; Huguet, B. Balboa; Robles, E. García; Galera, J.M. Gallardo; Marrer, B. Cabrera; Solanes, J. Castellano; Dorta, L. Cordovés; Quintana, P. Vals; Hernandez, M.A. Gil; Perez-Torres, S.; Galarza, L. Cortazar; Aldave, M.A. Ardanaz; Guri, M. Bové; Teijeiro, M.J. Blanco; Yañez, P. Mera; Campos, J. García

doi:10.1016/j.oftale.2012.07.008

Cited by 11 publications

(15 citation statements)

References 23 publications

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“…All early preterm children (<32 weeks) or with a birth weight under 1500 g received retinopathy of prematurity (ROP) screening starting at 4 weeks of age, which was repeated every 1–3 weeks until the retina was fully vascularised based on funduscopic results 13. Children with any stage of ROP were excluded from the study.…”

Section: Methodsmentioning

confidence: 99%

Retinal structure assessed by OCT as a biomarker of brain development in children born small for gestational age

et al. 2017

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Section: Methodsmentioning

confidence: 99%

Retinal structure assessed by OCT as a biomarker of brain development in children born small for gestational age

et al. 2017

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“…The infants were first examined at 4 to 6 weeks after birth. Subsequently, routine re-examination was performed every week depending on the retinal findings 5 . ROP was classified according to the International Classification of Retinopathy of Prematurity 7 , including the stage, zone and presence or absence of plus disease.…”

Section: Methodsmentioning

confidence: 99%

“…With the advancement in the preterm infants survival rate, the number of babies with higher ROP risk has increased, so early detection and treatment are becoming essential. Eye examinations are planned according to gestational age (GA), birth weight (BW) and ROP stage 5 .…”

Section: Introductionmentioning

confidence: 99%

Risk factors associated with Retinopathy of Prematurity development and progression

Ramírez

Aranda

Díaz

et al. 2022

Sci Rep

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Several studies propose that Retinopathy of Prematurity (ROP) is a multifactorial disorder implicating many prenatal and postnatal factors. The objective of our study was to determine the incidence and the risk factors that influenced ROP development and progression. We retrospectively compiled data of preterms with birth weight (BW) ≤ 1.500 g and/or gestational age (GA) < 32 weeks, or BW between 1.501 and 2.000 g and/or GA ≥ 32 weeks with oxygen supply > 72 h or unstable clinical course screened for ROP in Regional University Hospital of Málaga from 2015 to 2018. 202 infants (44.7%) developed ROP and 66 exhibited progression (32.7% of ROP infants). In the univariate analysis, many risk factors were associated with ROP. In the subsequent multivariate analysis, GA, oxygen therapy and weight at 28 days of life, mechanical ventilation duration, non-invasive ventilation, surfactant administration and late-onset sepsis were independently associated with the development. However, oxygen therapy duration, late-onset sepsis and weight at 28 days were associated with the progression. The ROP development and progression risk factors were different. Our results are important to facilitate screening, early diagnosis and ROP treatment while reducing unneeded examinations.

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“…The data were collected prospectively from the inclusion of premature infants in said protocol to the completion of the ophthalmologic monitoring, by medical discharge or death (15,16).…”

Section: Methodsmentioning

confidence: 99%

Risk Factors of Retinopathy of Prematurity Associated with Delayed Retinal Vascular Development

et al. 2017

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Objectives: To assess risk factors of retinopathy of prematurity leading to delayed retinal vascularization in the first stage of ROP. Methods:A retrospective study (2000 -2016) was performed in 275 infants who were born at a gestational age of ≤ 32 weeks. Delayed vascular development was calculated as the difference in avascular area measured in terms of disc diameters between patients with risk factor and those with no risk factor. Results:Intrauterine fetal demise of one twin, apnea, exchange tranfusion and intubation days (≥ 10 days) lead to delayed retinal vascularization of 1.74, 1.58, 1.17, and 1.11 disc diameters and of 3.35, 3.04, 2.25 and 2.13 weeks respectively. Delayed retinal vascular development was less than 1 disc diameter in other factors such as HS-PDA, sepsis, degree of hyaline membrane ≥ III, cerebral hemorrhage, birth weight (every 100 g less), gestational age (every week less), postnatal weight gain (every 1 g less/day) and cerebral hemorrhage. However, since these factors are quantitative (birth weight, gestational age and postnatal weight gain), the greater the adverse effect, the greater the delay will be. Conclusions:Intrauterine fetal demise of one twin, apnea, exchange tranfusion and intubation days (≥ 10 days) lead to delayed retinal vascular development more than 1 disc diameter at 4 -6 weeks of postnatal life.

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Screening program for retinopathy of prematurity in Spain

Cited by 11 publications

References 23 publications

Retinal structure assessed by OCT as a biomarker of brain development in children born small for gestational age

Retinal structure assessed by OCT as a biomarker of brain development in children born small for gestational age

Risk factors associated with Retinopathy of Prematurity development and progression

Risk Factors of Retinopathy of Prematurity Associated with Delayed Retinal Vascular Development

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