An International Classification of Retinopathy of Prematurity

Aaberg, Thomas M.; Ben-Sira, I; Charles, Steve; Clarkson, John G.; Cohen, Ben Z.; Flynn, John T.; Foos, Robert Y.; Garner, A; Hirose, Tatsuo; Koerner, Frederick C.; Machemer, Robert; Majima, A; McCormick, Andrew Q.; McPherson, Alice R.; Paulmann, H.; Quinn, Graham E.; Robertson, Joseph E.; Tanaka, Yasuhiko; Tasman, William; Topping, Trexler M.; Trese, Michael T.

doi:10.1001/archopht.1987.01060070042025

Cited by 420 publications

(17 citation statements)

References 4 publications

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“…5,16,17 ROP was classified in accordance with the International Classification of Retinopathy of Prematurity criteria. [18][19][20][21] Severe ROP was defined as stage 3 ROP or worse. 7 Patients exhibiting zone I ROP with plus disease or stage 3 and those exhibiting zone II ROP (stage 2 or 3) with plus disease received treatment, either antivascular endothelial growth factor or laser photocoagulation.…”

Section: Rop Screening and Treatmentmentioning

confidence: 99%

Diffusion Tensor Imaging Analysis of White Matter Microstructural Integrity in Infants With Retinopathy of Prematurity

Ahn

Park

Lee

et al. 2019

Invest. Ophthalmol. Vis. Sci.

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PURPOSE. To investigate white matter maturation in preterm infants with and without retinopathy of prematurity (ROP) and to determine whether ROP is associated with white matter microstructural integrity at term-equivalent ages. METHODS. In 82 preterm and 34 full-term infants who had undergone brain magnetic resonance imaging diffusion tensor imaging at term-equivalent ages, white matter microstructural integrity was assessed based on mean fractional anisotropy (FA) and mean diffusivity (MD) values in 23 predefined regions of interest by using atlas-based analyses. The values were compared among preterm and full-term infants, and a general linear model was used to evaluate the association of the values with ROP or severe (i.e., stage ‡3) ROP. RESULTS. Significant differences in FA and MD values were observed among preterm and fullterm infants in 17 (73.9%) and 15 (65.2%) of the 23 white matter areas evaluated, respectively. However, ROP was significantly associated with MD values in only two areas (superior longitudinal fasciculus [P ¼ 0.030] and cerebral peduncle [P ¼ 0.005]). Severe ROP was significantly associated with FA values within the anterior limb of the internal capsule (P ¼ 0.049) and MD values within the stria terminalis (P ¼ 0.035). A network analysis showed that preterm infants with severe ROP had lower small-world index values than those without. CONCLUSIONS. Preterm birth may be more strongly associated with white matter maturation at term-equivalent ages than ROP, but severe ROP may be associated with decreased structural connectivity.

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Section: Rop Screening and Treatmentmentioning

confidence: 99%

Diffusion Tensor Imaging Analysis of White Matter Microstructural Integrity in Infants With Retinopathy of Prematurity

Ahn

Park

Lee

et al. 2019

Invest. Ophthalmol. Vis. Sci.

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“…Initial examination was determined to be at 31st week for those born at 27 weeks or less, and postnatal fourth week for those born after 27 th week (6). International Classification of Retinopathy of Prematurity, first published in 1984, expanded in 1987, and revised in 2005, is used to describe the disease (7)(8)(9).…”

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confidence: 44%

A current overview of diagnosis and treatment in retinopathy of prematurity

Perente¹

2017

Beyoglu Eye J

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“…Retinopathy of prematurity (ROP) is one of the leading causes of preventable blindness in childhood worldwide (11). Nowadays, with the development of neonatology and current approaches, extremely low birth weight premature infants' survival rates increased, but this resulted in an increase in morbidities that may be observed in the long term, such as ROP.…”

Section: Discussionmentioning

confidence: 99%

“…It was found that the most important risk factors in ROP development are low birth weight and gestational age of the infant (12). Other identified risk factors include oxygen toxicity, low Apgar score, mechanical ventilation support, blood transfusion, acidosis, apnea, IVH, NEC, PDA, sepsis, and multiple pregnancies (11).…”

Section: Discussionmentioning

confidence: 99%

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Evaluation of Risk Factors Affecting Development of Retinopathy in Premature Infants

Gul¹,

Bülbül²

2018

JAREM

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Objective: We aimed to investigate the prevalence, risk factors, and prognosis of retinopathy of prematurity in premature infants. Methods: Between January1, 2008 and December 31, 2012 we included 537 premature infants born at the 34 th gestational week and previously treated at the Neonatal Intensive Care Unit of our hospital. Risk factors for the development of retinopathy of prematurity were retrospectively reviewed. Results: Our study included 290 female and 247 male infants; 90 of these infants (16.7%) were at different stages of retinopathy of prematurity. Of these, 55 (61.1%) had stage 1, 24 (26.7%) had stage 2, 9 (10%) had stage 3, and1 (1.11%) had stage 5 retinopathy of prematurity. Spontaneous regression was observed in 77 patients; laserphotocoagulation surgery was performed in 13 patients, and anti-VEGF therapy was given to 2 patients. One patient developed total retinal detachment. Birth weight, gestational weeks, Apgarscore (1 st and 5 th minutes), oxygen treatment duration, surfactant treatment, ventilator treatment and duration, maximum FIO 2 , anemia, transfusion, sepsis, apnea, intraventricular hemorrhage, Bronchopulmonary Dysplasia (BPD) other diseases (NEC, phototherapy, and PDA), antenatal steroid treatment, hospitalisation duration were significantly higher in patients with premature retinopathy; however, no significant difference was seen in sex, race, and maternal preeclampsia in these patients. Conclusion: We found a lower incidence of premature retinopathy in our study than in other studies in the literature. The majority of our patients with retinopathy of prematurity required early mechanical ventilation and oxygen supplementation. A good understanding of the risk factors for the development of premature retinopathy and risk factors in premature infants and early diagnosis and treatment are very important for the prevention of blindness.

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An International Classification of Retinopathy of Prematurity

Cited by 420 publications

References 4 publications

Diffusion Tensor Imaging Analysis of White Matter Microstructural Integrity in Infants With Retinopathy of Prematurity

Diffusion Tensor Imaging Analysis of White Matter Microstructural Integrity in Infants With Retinopathy of Prematurity

A current overview of diagnosis and treatment in retinopathy of prematurity

Evaluation of Risk Factors Affecting Development of Retinopathy in Premature Infants

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