Screening Examination of Premature Infants for Retinopathy of Prematurity

Fierson, Walter M.; Palmer, Earl A.; Biglan, Albert W.; Flynn, John T.; Petersen, Robert A.; Phelps, Dale L.

doi:10.1542/peds.100.2.273

Cited by 77 publications

(120 citation statements)

References 5 publications

(1 reference statement)

Supporting

Mentioning

103

Contrasting

Unclassified

Order By: Relevance

“…The American Academy of Paediatrics, the American Academy of Ophthalmology and the American Association of Paediatric Ophthalmology and Strabismus have established the screening instructions that are currently used in neonatal intensive care units (NICUs) 9 . According to these studies, all preterm infants born at less than 30 weeks of gestation and/or with a birth-weight less than 1500g should undergo indirect ophthalmoscopy of dilated eyes 9 .…”

Section: Discussionmentioning

confidence: 99%

“…According to these studies, all preterm infants born at less than 30 weeks of gestation and/or with a birth-weight less than 1500g should undergo indirect ophthalmoscopy of dilated eyes 9 . The ophthalmoscopy should start from the 31st week of post conception age or from the 28th day of life 9 . According to UK guidelines all babies less than 32 weeks gestational age (up to 31 weeks and 6 days) or less than 1501g birth weight should be screened for ROP 10 .…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A study on incidence and associated factors of retinopathy of prematurity in a tertiary care setting in Sri Lanka

Liyanage¹,

Perera

Weerasekera

2017

Sri Lanka J Child Health

View full text Add to dashboard Cite

Introduction: Retinopathy of prematurity (ROP) chiefly affects preterm infants. With the increased survival of extremely preterm infants, the number of infants with severe ROP has also increased.Objective: To assess the incidence, associated factors and outcome of ROP in neonates born at less than 34 weeks of gestation and/or less than 1.5 kg birth weight in Sri Jayawardenepura General Hospital Method: A prospective, descriptive, observational study was conducted in neonates born from 01/01/2014 to 31/12/2014, who were less than 34 weeks of gestation and/or less than 1.5 kg birth weight. Data was collected from patient records. Incidence estimates were given using descriptive statistics. For bivariate analysis (where associated factors were considered), the Chi Square test was applied to assess significant associations. The level of significance was 0.05. Results:Of 126 neonates, 113 were included in study as 11 met exclusion criteria and 2 dropped out during follow up. Twenty eight (24.8%) neonates had ROP of whom 12 (42.9%) needed treatment. Study revealed that, earlier the gestation and lower the birth weight, ROP was more commonly observed. Patent ductus arteriosus (PDA) (p=0.006), sepsis (p=0.024), invasive ventilation for 7 or more days (p=0.0001) and supplementary oxygen for more than 7 days (p=0.0001) were significantly associated with development of ROP. ___________________________________________

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

A study on incidence and associated factors of retinopathy of prematurity in a tertiary care setting in Sri Lanka

Liyanage¹,

Perera

Weerasekera

2017

Sri Lanka J Child Health

View full text Add to dashboard Cite

show abstract

“…The American Academy of Pediatrics 2013 guidelines recommended ROP screening of infants at 24 to 27 weeks' gestational age [78]. Kennedy and his team suggest that current screening guidelines should be changed to accommodate infants of 22 to 23 weeks [79].…”

Section: Retinopathy Of Prematurity (Rop)mentioning

confidence: 99%

“…All healthcare providers concerned with the care of preterm neonates should be informed of the optimal oxygen saturation and ROP screening guidelines. Parents should be cautious about the potential consequences of ROP [77].The American Academy of Pediatrics 2013 guidelines recommended ROP screening of infants at 24 to 27 weeks' gestational age [78]. Kennedy and his team suggest that current screening guidelines should be changed to accommodate infants of 22 to 23 weeks [79].…”

mentioning

confidence: 99%

The First Sixty Minutes in Preterm Neonates’ Life: Predicted Morbidities and Interventions

El-Atawi¹

2018

JPNC

View full text Add to dashboard Cite

Preterm neonates are more vulnerable to many diseases and complications than full-term infants as most of their biological systems are still underdeveloped. Fortunately, most of these morbidities are preventable as there are many interventions that could be performed in the first 60 minutes of neonatal life to avoid them and their long-term consequences, thus rightfully defining 'the golden hour'. The objective of this article is to review the potential morbidities that neonates might experience and understand their mechanisms, risk factors and its possible outcomes. We also reviewed the possible actions that could be implemented during the golden hour to prevent these morbidities and investigated their effectiveness. Medline and Cochrane database for systematic review were the main two electronic database that we used to search for studies. Studies pertaining to morbidities, such as hypothermia, hypoglycemia, respiratory distress, intraventricular hemorrhage (IVH), Chronic lung disease (CLD) and retinopathy of prematurity (ROP) have been selected according to their full text accessibility for us. Reports related to possible interventions that could be performed to prevent these morbidities have also been involved that include but not only restricted to drying & head coverings, polyethylene occlusive skin wraps, ambient room temperature, pre-warmed incubator, heated humidified gases, heated mattress and skin-to-skin contact for hypothermia; dextrose infusion pump, dextrose burette and oral dextrose for hypoglycemia; indomethacin, ibuprofen, antithrombin and heparin for IVH; surfactant and CPAP for respiratory distress; controlling oxygen saturation for ROP. Keywords: The First Sixty Minutes in Preterm Neonates' Life: Predicted Morbidities and Interventions 2/8Copyright: ©2018 El-Atawi et al. the relation between severe hypothermia (<32°C) and shortand long-term neurodevelopmental outcomes are required. Moderate hypothermia was found to be associated with severe intraventricular hemorrhage, intraventricular leukomalacia, and necrotizing enterocolitis. Yet, these associations should be analyzed carefully since they were based on studies with a wide confidence interval. More studies with larger sample size are warranted to accurately illustrate these associations [5]. Moreover, hypothermia increases oxygen consumption, thus leading to hypoxia and subsequently pulmonary vasoconstriction which, in turn, declines surfactant production and worsens respiratory distress. The presence of comorbidities with hypothermia increases the fatality rate, so adding a higher category to the severity of hypothermia would represent an effective addition to the WHO classification of the severity of hypothermia [8].Large surface area of neonates in relation to their small body weight makes them more vulnerable to hypothermia than fullterm babies. Preterm neonates have a higher transepidermal water loss than term due to their immature epidermal layer [9]. Their premature vasomotor control which acts as a thermoregulatory mec...

show abstract

“…(f) Adequate ophthalmic expertise is often limited to larger ophthalmic centers, and therefore unavailable at the point of care. (g) Pilot studies have suggested that ROP diagnosis using simple interpretation of images captured using wide-angle digital retinal cameras may be feasible (Attar MA et al, 2005;Ells AL, Holmes JM, Astle WF, et al, 2003;Fierson WM, Palmer EA, Petersen RA, et al, 2001 ;Kaiser RS et al, 2001). …”

Section: Introductionmentioning

confidence: 99%

Optimized Imaging Techniques to Detect and Screen the Stages of Retinopathy of Prematurity

Prabakar¹,

Porkumaran²,

Shah³

et al. 2012

Human-Centric Machine Vision

View full text Add to dashboard Cite

Screening Examination of Premature Infants for Retinopathy of Prematurity

Cited by 77 publications

References 5 publications

A study on incidence and associated factors of retinopathy of prematurity in a tertiary care setting in Sri Lanka

A study on incidence and associated factors of retinopathy of prematurity in a tertiary care setting in Sri Lanka

The First Sixty Minutes in Preterm Neonates’ Life: Predicted Morbidities and Interventions

Optimized Imaging Techniques to Detect and Screen the Stages of Retinopathy of Prematurity

Contact Info

Product

Resources

About