The Severity of Retinopathy in the Extremely Premature Infants.

International Scholarly Research Notices Pub Date : 2017-10-18 eCollection Date: 2017-01-01 DOI:10.1155/2017/4781279
Alexandra Trivli, Maria Polychronaki, Charoula Matalliotaki, Michail Papadimas, Athina E Patelarou, Niki Dermitzaki, Michail Matalliotakis
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引用次数: 4

Abstract

Objective: We aimed to investigate the incidence and the severity of retinopathy of extremely premature infants and to evaluate the risk factors and outcome of the cases.

Materials and methods: Out of 200 premature births, we retrospectively reviewed 9 cases that developed ROP. We excluded cases where ROP developed in newborns > 30 weeks of gestational age and cases where medical notes were unavailable or incomplete. Topical drops of cyclopentolate 1% and phenylephrine 5% were instilled and fundoscopy was performed using a direct ophthalmoscope.

Results: The incidence of ROP was 4.5% in the 9-year period. The infants were divided into two groups. Group 1 included premature infants ≤27 weeks of age and Group 2 included those >27 weeks but ≤ 30 weeks of age. We found that the infants of Group 1 showed advanced stages of ROP in comparison to Group 2. Out of 18 eyes, 11 eyes had stage 3 ROP and they were all found in Group 1 (100% of cases).

Conclusion: The severity of ROP was associated with earlier gestational age, lower birth weight, and oxygen supplementation. Constant cooperation between physicians and nursing staff is necessary to avoid undetected cases and further prevent ROP related blindness.

极早产儿视网膜病变的严重程度。
目的:探讨极早产儿视网膜病变的发病率和严重程度,并评价其危险因素和预后。材料与方法:我们回顾性分析了200例早产儿中9例发生ROP的病例。我们排除了在> 30孕周的新生儿中发生ROP的病例以及无法获得或不完整的医疗记录的病例。局部滴注1%环戊酸酯滴剂和5%苯肾上腺素滴剂,直接检眼镜行眼底镜检查。结果:9年内ROP发生率为4.5%。这些婴儿被分成两组。组1为≤27周龄的早产儿,组2为>27周龄但≤30周龄的早产儿。我们发现,与第二组相比,第一组的婴儿表现出较晚期的ROP。18只眼中有11只眼出现3期ROP,均出现在1组(100%)。结论:ROP的严重程度与早胎龄、低出生体重和补充氧有关。为了避免未被发现的病例,进一步预防ROP相关性失明,医生和护理人员之间需要不断的合作。
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