Frequency and Problems Associated With Retinopathy of Prematurity (ROP) in A Tertiary Care Hospital

Journal of Dhaka Medical College Pub Date : 2024-07-09 DOI:10.3329/jdmc.v31i2.73196

Sabira Rahman, Nayeema Ferdous Shanta, Mashura Morshed, Saifa Lubna Mili, Masuma Khan, Arpita Sarkar

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Abstract

Background: Retinopathy of prematurity (ROP) is a retinal disease that principally affects preterm infants. It is recognized as the leading cause of preventable blindness and visual impairment in the pediatric population. An increase in survival of very young preterm infants due to the advances in neonatology has subjected them to the risk of developing ROP. Aims & Objectives: To find out the frequency and problems associated with Retinopathy of Prematurity (ROP) in premature babies. Materials and Methods: This observational study was conducted at Dhaka Medical College and Hospital from July 2016-December 2016. A total of 73 preterm neonates with gestational age less than 35 weeks and weighing less than 2000 grams at birth, being born or admitted at Dhaka Medical College and Hospital were included in the study. After purposive sampling who had fulfilled the inclusion criteria and screened for ROP at 4 weeks after birth. The data analysis was done to find out the prevalence and problems associated with ROP of premature babies. Result: A total of 73 neonates were screened. The prevalence of ROP was found to be 54% (n=40); of which 35% were in stage 1 and 35% were in stage 2 and the majority were in zone 3 (50%). The prevalence of ROP between 28-30 weeks of gestation was 75% (n=12) and between 31-34 weeks was 49.12% (n=28). 50% (20) neonates with birth weights less than 1500 grams were found to develop ROP. The prevalence of post-natal problems that predispose to ROP was oxygen therapy, apnea, blood transfusion, and sepsis, and the P-value was significant. Out of ROP-positive cases, 16(40%) need laser photocoagulation. Conclusion: The prevalence of Retinopathy of Prematurity (ROP)in premature babies is high below 30 weeks of gestational age and birth weight less than 1500 gm. Problems significantly associated with ROP were oxygen therapy, apnea, blood transfusion, and sepsis. J Dhaka Med Coll. 2022; 31(2) : 237-242

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一家三级医院中早产儿视网膜病变（ROP）的发病率和相关问题

背景：早产儿视网膜病变（ROP早产儿视网膜病变（ROP）是一种主要影响早产儿的视网膜疾病。早产儿视网膜病变是一种主要影响早产儿的视网膜疾病，被认为是导致儿科可预防性失明和视力损伤的主要原因。随着新生儿学的发展，早产儿存活率的提高，使他们面临罹患早产儿视网膜病变的风险：材料与方法：这项观察性研究于 2016 年 7 月至 2016 年 12 月在达卡医学院和医院进行。共有 73 名胎龄小于 35 周、出生时体重小于 2000 克、在达卡医学院附属医院出生或住院的早产新生儿被纳入研究。经过有目的的抽样，符合纳入标准的新生儿在出生后 4 周接受了视网膜病变筛查。研究人员对数据进行了分析，以找出早产儿视网膜病变的发病率和相关问题：结果：共筛查了 73 名新生儿。结果：共对 73 名新生儿进行了筛查，发现早产儿视网膜病变的发病率为 54%（n=40），其中 35% 处于第一阶段，35% 处于第二阶段，大多数处于第三阶段（50%）。妊娠 28-30 周的早产儿视网膜病变发病率为 75%（12 人），31-34 周的发病率为 49.12%（28 人）。出生体重低于 1500 克的新生儿中，50%（20 人）患上了早产儿视网膜病变。产后易患早产儿视网膜病变的问题主要是氧疗、呼吸暂停、输血和败血症，P 值显著。在早产儿视网膜病变阳性病例中，16 例（40%）需要进行激光光凝治疗：早产儿视网膜病变（ROP）在胎龄低于 30 周、出生体重低于 1500 克的早产儿中发病率很高。与早产儿视网膜病变密切相关的问题包括氧疗、呼吸暂停、输血和败血症。2022; 31(2) : 237-242

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Journal of Dhaka Medical College

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