The Turkish Journal of Pediatrics
2013 , Vol 55 , Num 5
Frequency, risk factors and outcomes of retinopathy of prematurity in a tertiary care hospital in Turkey
1Department of Ophthalmology, 2Division of Neonatology, Department of Pediatrics, and 3Department of Public Health
and Preventive Medicine, Gülhane Military Medical Academy and Faculty of Medicine, Ankara, Turkey.
E-mail: mkucukevcilioglu@gata.edu.tr
The aim was to report outcomes of retinopathy of prematurity (ROP) screening
conducted between March 1999 and March 2012 in a retrospective manner
before October 2005 (Group 1) and prospective manner thereafter (Group 2).
Data of the neonates with either a gestational age of 34 weeks or less or with
a birth weight of less than 1501 g were analyzed to elucidate the frequency
of ROP, ROP-related risk factors and population characteristics. Of the 640
neonates, 240 (37.5%) had any stage of ROP. Gestational age ≤32 weeks, birth
weight <1500 g, oxygen therapy, respiratory distress syndrome, and sepsis
were found as independent determinants for any stage of ROP. Gestational
age ≤28 weeks, mechanical ventilation, intraventricular hemorrhage, and
outborn infant status were found as independent determinants for treatmentrequiring
severe ROP (8.6%). Frequency of ROP did not seem to follow a
decreasing trend; however, neonates in Group 2 were more immature and
sicker. Therefore, check-backs seem to be necessary to follow the dynamic
nature of ROP.
Keywords :
frequency, outcome, retinopathy of prematurity, risk factors.