Çocuk Sağlığı ve Hastalıkları Dergisi
2012 , Vol 55 , Num 3
Retinopathy of prematurity (ROP): cases and risk factors
Etlik Zübeyde Hanım Kadın Hastalıkları Eğitim ve Araştırma Hastanesi 1Pediatri Uzmanı, 2Göz Hastalıkları Uzmanı,
3Pediatri Doçenti, Zekai Tahir Burak Kadın Sağlığı Eğitim ve Araştırma Hastanesi 4Pediatri Uzmanı
Retinopathy of prematurity(ROP) is a disorder of the developing retina of low
birth weight (LBW) preterm infants that potentially leads to blindness. The
exact pathogenesis of ROP is not clear, but many predisposing risk factors
have been reported, and immaturity determined by low gestational age and
LBW seems to be the most important risk factor. In this study, our aim was
to evaluate the incidence of ROP and the risk factors associated with its
development. This study was conducted at the Neonatal Intensive Care Unit
of Etlik Zübeyde Hanım Women’s Health Teaching and Research Hospital
during the period from 1 January 2010 to December 2010. Ophthalmologic
screening was performed in a total of 765 premature infants with birth
weight <2000 g or gestational age less than 32 weeks and newborns born
after 32 weeks with birth weight between 1500-2000 g having high risk
and exposed to oxygen treatment for a long period. Of the 765 neonates
screened, ROP of any stage was determined in 118 infants(15.4%). Mean
birth weight and gestational age of these 118 infants were 1111±251 g and
28.8±2.2 weeks, respectively. Laser photocoagulation was needed in 23 of the
neonates with ROP, and their mean birth weight and gestational age were
1033±244 g and 27.7±2.1 weeks, respectively. The statistically significant
risk factors of laser photocoagulation were: low gestational age (p=0.006),
LBW(p=0.048), duration of oxygen treatment(p=0.01), nasal continuous
positive airway pressure(CPAP) management(p=0.001), blood transfusion
≥2 (p=0.000), intraventricular hemorrhage(p=0.037), and apnea(p=0.012).
There has been an increased incidence of ROP with the increased survival
of extremely/very LBW infants. Thus, it is important for neonatologists and
experienced ophthalmologists to be in agreement on a screening program
for ROP and the risk factors in order to determine and treat ROP early for
improved visual prognosis.
Anahtar Kelimeler :
prematüre, retinopati, lazer fotokoagülasyon.