CHARACTERISTICS OF RETINOPATHY OF PREMATURITY IN MAKASSAR BETWEEN JANUARY 2020 AND DECEMBER 2022

M. N. Rahmah, H. Muhiddin
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Abstract

Introduction & Objectives : Introduction: Retinopathy of Prematurity (ROP) is one of the leading causes of irreversible visual impairment in infants, especially in premature infants. Preterm birth leads to incomplete development of retina that will cause ROP. ROP screening is an early strategy to prevent irreversible blindness in ROP. Objective: The purpose of this study was to describe the characteristics of ROP in Makassar between January 2020 and December 2022. Methods : A multi-center observational descriptive study at ten hospitals in Makassar. Results : The total patients in this study were 168 infants (336 eyes) included 53.25% male and 46.15% female. The incidence of ROP in Makassar between January 2020 and December 2022 was 14.87%. Most of the patients had history of preterm birth with gestational age ranged from 28 to 33 weeks and low birth weight less than 1500 gram in 50% patients. Majority of patients had history of oxygen therapy (77.98%), and other risk factors such as sepsis, twin birth, history of transfusion, or apnea. About 98.81% patients had bilateral ROP and 33.93% were diagnosed with stage 3 at first screening. Photocoagulation laser was done in 41 patients (24.40%). Conclusion : The ROP screening in Makassar had a good outcome in managing the premature infants, so they can be diagnosed and got treated earlier. A sustainable screening program is required to prevent the irreversible blindness due to ROP.
2020 年 1 月至 2022 年 12 月期间望加锡早产儿视网膜病变的特点
导言和目标:导言:早产儿视网膜病变(ROP)是导致婴儿,尤其是早产儿出现不可逆视力损伤的主要原因之一。早产儿视网膜发育不全会导致早产儿视网膜病变。早产儿视网膜病变筛查是预防早产儿视网膜病变导致不可逆失明的早期策略。研究目的本研究旨在描述 2020 年 1 月至 2022 年 12 月间望加锡地区 ROP 的特征。方法:在望加锡的十家医院开展多中心观察描述性研究。结果:本研究的患者总数为 168 名婴儿(336 只眼睛),其中男性占 53.25%,女性占 46.15%。2020年1月至2022年12月期间,马卡萨市的视网膜病变发病率为14.87%。大多数患者有早产史,胎龄在 28 至 33 周之间,50% 的患者出生体重不足 1500 克。大多数患者有氧疗史(77.98%)和其他风险因素,如败血症、双胎、输血史或呼吸暂停。约 98.81% 的患者患有双侧 ROP,33.93% 的患者在首次筛查时被诊断为第 3 期。41 名患者(24.40%)接受了激光光凝治疗。结论:望加锡的早产儿视网膜病变筛查在早产儿管理方面取得了良好的效果,因此他们可以更早地得到诊断和治疗。为防止因早产儿视网膜病变导致不可逆转的失明,需要开展一项可持续的筛查计划。
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