Severe retinopathy of prematurity in big babies in India: History repeating itself?

Shah, Parag K; Narendran, Venkatapathy; Narendran, Kalpana; Gilbert, Clare

doi:10.1007/s12098-009-0175-1

Cited by 71 publications

(70 citation statements)

References 15 publications

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“…12 Screening in a timely fashion is important as there is only a narrow window of opportunity for treating these babies as ROP progresses rapidly. 13 It has been suggested that IMR could act as a proxy indicator for the risk of blindness in children from ROP, with countries with IMRs in the range 9-60/1000 live births being most at risk. 14 In 2007, the IMR in Malaysia was 62/10 000 (ref.…”

Section: Discussionmentioning

confidence: 99%

Childhood blindness and severe visual impairment in Malaysia: a nationwide study

Patel

Tajunisah

Gilbert

et al. 2011

Eye

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Aim To determine the causes of childhood blindness and severe visual impairment (BL/SVI) in schools for the blind in Malaysia. Methods All children r15years attending 24 schools for the blind throughout the country were examined using the WHO Prevention of Blindness Programme (WHO/PBL) eye examination record for children, and visual loss was classified according to the International Classification of Disease (ICD). Results In all, 469 children were examined, of whom 448 (95.6%) had BL/SVI. The major causes of visual loss were retinal disorders (n ¼ 148, 33%; mainly retinopathy of prematurity (n ¼ 78, 17.4%)), cataract/ pseudophakia/aphakia (n ¼ 77, 17.2%), and anomalies affecting the whole globe. (n ¼ 86, 19.2%). The major underlying etiology was undetermined (n ¼ 193, 43.1%), followed by hereditary factors, 21.7% (mainly retinal dystrophies), and perinatal factors, 20.5%. More than 34 (7.6%) cases were considered potentially preventable and 192 (42.9%) potentially treatable. Conclusion Diseases of the retina are the major cause of visual impairment, with retinopathy of prematurity being an important avoidable cause. This reflects expansion of neonatal services in Malaysia, and improved survival of very low birth weight and preterm babies. Lens-related causes of visual impairment reflect the need to further improve pediatric ophthalmology services in Malaysia.

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Section: Discussionmentioning

confidence: 99%

Childhood blindness and severe visual impairment in Malaysia: a nationwide study

Patel

Tajunisah

Gilbert

et al. 2011

Eye

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“…There are many reports of babies with higher BW and longer GA being affected with ROP. [2][3][4][5][6] However ROP developing in term or near-term babies at BW between 2.4 and 3.0 kg in the present series has rarely been well documented and reported in the literature.…”

Section: Introductionmentioning

confidence: 64%

Larger and near-term baby retinopathy: a rare case series

Padhi

Rath

Jalali

et al. 2014

Eye

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Purpose To report retinopathy in a series of four babies unusually beyond the screening standards reported so far in the literature. Methods During routine screening for retinopathy of prematurity, we detected retinopathy in four babies who were surprisingly bigger and older than the screening standards. The gestational age (GA), birth weight (BW), post menstrual age at first examination and significant perinatal events were noted. The retinopathy details imaged by the RetCam were classified as per ICROP revisited standards. Result The GA ranged from 36 to 39 weeks and BW from 2.4 to 3.0 kg. Three of them had retinopathy in zone III that regressed spontaneously and one had marked plus with vascular arcades and shunts in zone II that regressed after laser photocoagulation. All of them had fetal distress and multiple systemic comorbidities in the neonatal period. Conclusion This report makes one aware of the possibility of retinopathy in newborn of older GA and larger BW especially with fetal distress and stormy neonatal course.

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“…Vivekar et al reported incidence as high as 44.9% in babies with birth weight >1250 gm 12 . Higher incidence of severe ROP in more mature and bigger babies ( mean birth weight 1488 gm for threshold ROP) has been reported by Shah et al 13 . Sanghi et al reported aggressive posterior ROP (APROP) in infants more than 1500 gm in our country 14 .…”

Section: Discussionmentioning

confidence: 62%

Incidence and Risk Factors of Retinopathy of Prematurity (ROP) in Neonates of Weight 1.5 to 2 kg

2017

Int. J. Curr. Res. Med. Sci.

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Objective :-To find incidence and risk factors of ROP in neonates of birth weight 1.5-2 kg. Methods: -All the neonates admitted in NICU at GMC, Amritsar from August 2014 to July 2015 with birth weight 1.5-2 kg were enrolled and followed up for all neonatal problems and interventions and screened for ROP by indirect ophthalmoscope at 4 weeks of postnatal age and followed up till retinal vascularization was complete. Neonatal risk factors including diseases and various interventions and treatment given to them were noted and data was analyzed statistically. Results: -A total of 70 children were screened for ROP, 12 of them were diagnosed with retinopathy of prematurity. Thus, incidence of ROP was 17.1%. 11 of them had stage 1 ROP, 1 had stage 2 ROP with plus disease. On univariate analysis, sepsis and oxygen duration of more than 7 days were significantly associated with development of ROP. None of the risk factor was independent predictor of ROP on logistic regression analysis. Conclusion: -Neonates with birth weight upto 2 kg having sepsis and oxygen therapy duration of more than 7 days and having other risk factors should be screened for ROP as they can develop ROP including threshold ROP.

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Severe retinopathy of prematurity in big babies in India: History repeating itself?

Cited by 71 publications

References 15 publications

Childhood blindness and severe visual impairment in Malaysia: a nationwide study

Childhood blindness and severe visual impairment in Malaysia: a nationwide study

Larger and near-term baby retinopathy: a rare case series

Incidence and Risk Factors of Retinopathy of Prematurity (ROP) in Neonates of Weight 1.5 to 2 kg

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