Turkish Neonatal and Turkish Ophthalmology Societies consensus guideline on the retinopathy of prematurity

Koç, Esin; Baş, Ahmet Yağmur; Özdek, Şengül; Ovalı, Fahri; Başmak, Hikmet

doi:10.5152/turkpediatriars.2018.01815

Cited by 27 publications

(72 citation statements)

References 49 publications

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“…In 13 countries at least one additional risk factor/sickness criteria for screening was clearly defined. 25,26,29,31,33,35,37,40,41,[43][44][45][46] In these 13 guidelines and in four further documents, a paediatrician or neonatologist could initiate screening if they considered a newborn to be at risk of ROP if they fell outside the GA and BW criteria. 30,32,36,39 In five countries, 27,28,34,38,42 all indications for screening were clearly defined.…”

Section: Quality Of the Evidencementioning

confidence: 99%

Systematic review of the guidelines for retinopathy of prematurity

Kościółek

Kisielewska

Ćwiklik-Wierzbowska

et al. 2022

European Journal of Ophthalmology

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As the characteristics of preterm infants with retinopathy of prematurity (ROP) vary, depending on the quality of neonatal care they received, universal screening criteria for ROP are not possible. The purpose of this study was to compare ROP guidelines for those planning to develop guidelines, particularly in resource-poor settings. A systematic review was undertaken of PubMed, Embase and guidelines registers to identify national or international policy statements or guidelines in English, issued or operational in 2010–2021. Bibliographies of two publications were also reviewed. The searches identified 633, 1081 and 317 records, respectively, and 157 records were retrieved from other sources. 23 publications were included in the analysis. Most included documents defined cut-offs for screening as <32 weeks gestational age (GA) or ≤1500g birth weight (BW). The highest values were in the Philippines (<35 weeks GA; <2000g) and India (≤34 weeks GA; <2000g). The lowest were in high-income countries, i.e. the United States of America (≤32 weeks for GA) and New Zealand (<1250g for BW). Most guidelines included additional risk factors to consider. The most frequent indication for when screening should start was a combination of GA and chronological age. All but one document defined when screening could stop. There was general consensus on the indications, timing and methods of treatment. Indications for anti-VEGF therapy varied between countries. Guidelines were identified for a limited number of countries with none from low-income settings. Variation in the indications for screening reflects the varying exposure to risk factors in different settings.

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Section: Quality Of the Evidencementioning

confidence: 99%

Systematic review of the guidelines for retinopathy of prematurity

Kościółek

Kisielewska

Ćwiklik-Wierzbowska

et al. 2022

European Journal of Ophthalmology

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“…İlk ROP muayenesi Türk Neonatoloji ve Türk Oft almoloji derneklerinin hazırladığı rehber doğrultusunda yapıldı. 10 Gestasyon yaşı 28 haft anın altında doğmuş bebeklerde postmenstruel 31. haft ada, 25 haft a altında doğanlarda postnatal 6. haft ada, 28 haft a üzerinde doğanlarda ise postnatal 4. haft ada ROP muayene tarama programı başlatılıp göz hekiminin uygun gördüğü aralıklarla takip devam etti. Tedavilere rehber doğrultusunda karar verildi.…”

Section: çAlışma Planıunclassified

“…Tedavilere rehber doğrultusunda karar verildi. 10 Endikasyona göre lazer ablasyon veya vasküler endotelyal büyüme faktör blokajı (anti-VEGF) yapıldı.…”

Section: çAlışma Planıunclassified

Çok Düşük Doğum Ağırlıklı Preterm Bebeklerde Retinol Metabolizması Değişkenlerinin Prematüre Retinopatisi İle İlişkisi

Tekgündüz¹,

Dilek²,

Kara³

et al. 2021

Sakarya Medical Journal

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Amaç Retinol fetusta birçok organın gelişimi için gereklidir. Bu nedenle retinol eksikliği teratojenik etkilere neden olabilir. Bu çalışmada çok düşük doğum ağırlıklı bebeklerde retinol, retinol bağlayıcı protein (RBP) ve plasental retinol transfer hızı düzeyleri ile prematüre retinopatisi (ROP) arasındaki ilişkiyi araştırmayı amaçladık. Gereç ve YöntemlerÇalışma Ocak-Aralık 2020 tarihleri arasında prospektif kohort olarak yürütüldü. Çalışmaya ≤ 30 hafta ve ≤ 1500 gr doğan bebekler dahil edildi. Major anomalileri olan anne ve bebekler dahil edilmedi. Retinol ve RBP seviyeleri umblikal kord ve anne kanında çalışıldı. Plasental retinol transfer oranını hesaplandı. Retinol, RBP ve plasental transfer oranının karşılaştırması herhangi bir evre ROP (+) ve ROP (-) grupları arasında yapıldı. ROP tedavisi gerektiren hastalarda retinol, RBP durumu ve plasenta transfer oranının etkileri araştırıldı. Bulgular Toplam 30 hastanın ROP incelemeleri tamamlandı. ROP olan ve olmayanların umblikal kord ve maternal retinol seviyeleri arasında istatistiksel olarak anlamlı bir fark görülmezken, plasental retinol transfer hızı ROP (+) grubunda anlamlı olarak daha düşüktü. Plasental retinol transfer hızı ile ROP evresi arasında negatif korelasyon vardı. ROP olanların alt grup analizinde, tedaviye ihtiyaç duyanların plasental retinol transfer oranının ROP olmayanlara göre daha düşük olduğu bulundu.Sonuç Plasental retinol transfer hızı, prematüre bebeklerde tedavi gerektiren ROP için bir prediktif faktör olarak kullanılabilir. Ancak daha geniş katılımlı çalışmalara ihtiyaç vardır.

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“…In the Turkey Retinopathy of Prematurity Guideline prepared by the Turkish Neonatal Society and Turkish Ophthalmology Society in 2016, screening was recommended in all babies with a gestational age of ≤32 weeks or a birth weight of ≤1500 g and in babies with a gestational age of >32 weeks or a birth weight of >1500 g who have undergone cardiovascular supportive treatment or in preterm babies who are considered risky in terms of development of ROP by a physician monitoring the baby (40). The first ophthalmologic examination should be performed at the postmenstrual 31 st week in babies born with a gestational age below 27 weeks and in the postnatal 4 th week in babies born with a gestational age of ≥27 weeks (2).…”

Section: Ophthalmologic Follow-up Of Preterm Infantsmentioning

confidence: 99%

“…In addition, the frequency of strabismus, amblyopia and refractive disorder is increased in children who were born prematurely independent of development of retinopathy. Therefore, it is recommended that preterm babies should undergo full ophthalmologic evaluations at the age of 9-12 months, 2-3 years, and before school age (38, 40).…”

Section: Ophthalmologic Follow-up Of Preterm Infantsmentioning

confidence: 99%

Turkish Neonatal Society guideline on the follow-up of high-risk newborn infants

2019

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Developments in perinatal and neonatal care have increased the survival rate of high-risk newborns but led to a rise in chronic diseases seen in these infants. A significant number of them attend primary and secondary health care centers after discharge; however, there are very few standard protocols for the long-term follow-up of these babies. Therefore, we aimed to establish a follow-up guideline that emphasizes on universal screening schemes and takes into consideration national data. The guide presented here provides brief recommendations for physicians in light of evidence-based data for the follow-up of high-risk newborn infants. The steps taken to monitor and solve the problems of all high-risk infants may vary. We hope the use of such a standard approach in evaluating each infant in daily routine will improve the life quality of these high-risk infants.

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Turkish Neonatal and Turkish Ophthalmology Societies consensus guideline on the retinopathy of prematurity

Cited by 27 publications

References 49 publications

Systematic review of the guidelines for retinopathy of prematurity

Systematic review of the guidelines for retinopathy of prematurity

Çok Düşük Doğum Ağırlıklı Preterm Bebeklerde Retinol Metabolizması Değişkenlerinin Prematüre Retinopatisi İle İlişkisi

Turkish Neonatal Society guideline on the follow-up of high-risk newborn infants

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