The changing scenario of retinopathy of prematurity in middle and low income countries: Unique solutions for unique problems

Vinekar, Anand; Dogra, Mangat R; Azad, Raj Vardhan; Gilbert, Clare; Gopal, Lingam; Trese, Michael T.

doi:10.4103/ijo.ijo_496_19

Cited by 33 publications

(30 citation statements)

References 24 publications

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“…Tapas Ranjan Padhi and Prabhujot Kaur Multani, Bhubaneswar, India India has the highest overall number of premature births in the world. 13 Although the infant mortality rate is still relatively high, it is improving regularly. The number of neonatal intensive care units (NICUs) is rapidly increasing, with 700 government special newborn care units across India.…”

Section: Rop In Indiamentioning

confidence: 99%

The current state of retinopathy of prematurity in India, Kenya, Mexico, Nigeria, Philippines, Romania, Thailand, and Venezuela

et al. 2019

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Retinopathy of prematurity (ROP) is one of the leading causes of preventable blindness in children worldwide. Middle-income nations are currently experiencing epidemic levels of ROP, because greater access to neonatal intensive care units has improved survival rates of premature infants, but without sophisticated oxygen regulation. The epidemiology, screening infrastructure, treatment options, and challenges that these countries face are often tied to unique local socioeconomic, cultural, geopolitical, and medical factors. We present an overview and narratives of the current state of ROP in eight countries that are or soon will be experiencing ROP epidemics

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Section: Rop In Indiamentioning

confidence: 99%

The current state of retinopathy of prematurity in India, Kenya, Mexico, Nigeria, Philippines, Romania, Thailand, and Venezuela

et al. 2019

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“…Rapid medical progress in many middle-and low-income countries has resulted in service expansion for neonates leading to increased survival of premature infants. However, the lack of structured frameworks for ROP screening in those countries has led to a significant increase in the incidence of the disease [6].…”

Section: Unique Approaches For Rdfi-tm In Middle-and Low-income Countmentioning

confidence: 99%

“…Some of the challenges faced by countries like India for managing ROP include lack of awareness for the disease among care-givers, inadequately trained personnel for screening and treatment, geographic limitations and lack of resources in rural areas, and large numbers of infants to screen since ROP manifests in heavier weight premature infants (birth weight 2000 g and less) [3,6,25]. One successful program to address ROP screening in India has been the Karnataka Internet Assisted Diagnosis of ROP (KIDROP) program.…”

Section: Unique Approaches For Rdfi-tm In Middle-and Low-income Countmentioning

confidence: 99%

The Role of Telemedicine to Alleviate an Increasingly Burdened Healthcare System: Retinopathy of Prematurity

et al. 2020

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Telemedicine-based remote digital fundus imaging (RDFI-TM) offers a promising platform for the screening of retinopathy of prematurity. RDFI-TM addresses some of the challenges faced by ophthalmologists in examining this vulnerable population in both low-and high-income countries. In this review, we studied the evidence on the use of RDFI-TM and analyzed the practical framework for RDFI-TM systems. We assessed the novel technological advances that can be deployed within RDFI-TM systems including noncontact imaging systems, smartphone-based imaging tools, and deep learning algorithms.

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“…In many low and middle-income countries (LMICs), retinopathy of prematurity (ROP) has increasingly been recognized in the past few decades as one of the most important avoidable causes of blindness and visual impairment in children. [ 1 2 3 ] The condition is not better even in high-income countries, because of the rising survival of more extremely premature infants, and ROP there remains an important cause of avoidable childhood blindness. [ 4 5 ] One of the main reasons for rising ROP in developing nations is due to the disparity in quality of care among preterm newborns.…”

Section: Introductionmentioning

confidence: 99%

“…[ 1 ] A meta-analysis also reported that around 32,300 preterm infants are visually impaired every year due to ROP, including China and India. [ 3 ]…”

Section: Introductionmentioning

confidence: 99%

Retinopathy of prematurity: Addressing the emerging burden in developing countries

Senjam

Chandra

2020

J Family Med Prim Care

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Retinopathy of prematurity has emerged and continues to be one of the leading causes of avoidable childhood blindness in low- and middle-income countries over the past few years. A major reason is the lack of adoption of effective and efficient screening for retinopathy of prematurity in various neonatal or newborn units across the countries. At the same time, there is an improvement in the survival rate of high-risk newborn babies which causes a further rise in retinopathy of prematurity. Most of the associated risk factors for retinopathy of prematurity are avoidable, therefore, various preventive strategies can be developed at various levels of healthcare facilities ranging from primary to tertiary level. The integration of appropriate retinopathy of prematurity intervention programs between healthcare departments and partnerships with other non-governmental eye care institutions would be an important as well as critical step to prevent blindness and visual impairment due to retinopathy of prematurity in India and other developing nations.

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The changing scenario of retinopathy of prematurity in middle and low income countries: Unique solutions for unique problems

Cited by 33 publications

References 24 publications

The current state of retinopathy of prematurity in India, Kenya, Mexico, Nigeria, Philippines, Romania, Thailand, and Venezuela

The current state of retinopathy of prematurity in India, Kenya, Mexico, Nigeria, Philippines, Romania, Thailand, and Venezuela

The Role of Telemedicine to Alleviate an Increasingly Burdened Healthcare System: Retinopathy of Prematurity

Retinopathy of prematurity: Addressing the emerging burden in developing countries

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