Deva Prasad Gopal et al found evidence emphasizing lack of awareness on timely screening of retinopathy of prematurity (ROP) in preterm babies. Preterm babies born with less than or equal to 35 weeks of gestational age (≤2000 g birth weight) were prospectively included in the study. The researchers investigated factors influencing timely versus delayed presentation of preterm babies for ROP screening. Babies presented for the first ROP screening within 30 days of birth were considered as timely presented and screening after 30 days of birth were considered to be presented delayed. A data of 278 preterm babies (n = 139 timely vs n = 139 delayed presentation) collected in the event surveys conducted by The Indian Twin Cities ROP Screening (ITCROPS) were analysed. The probability of any stage of ROP occurrence was found to be 2.6 times. The probability of sight threatening ROP was 6.8 times in those presenting delayed compared to those presenting timely. Major reasons for delayed presentation were not asked to do so/no referral from paediatrician in 64 (46%) participants and unaware of the importance by 46 (33%) participants. The findings suggest a need for creating awareness about timely ROP screening and referral guidelines among the paediatricians involved in care of preterm infants at risk of developing ROP.
Source: Indian Journal of Ophthalmology June 2019 Volume 67 Issue 6 DOI: 10.4103/ijo.IJO_561_18 http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=6;spage=855;epage=859;aulast=Gopal;type=0