Retinopathy of prematurity: Screening, incidence and risk factors analysis

Chang Sue Yang, Shu Jen Chen, Fenq Lih Lee, Wen-Ming Hsu, Jorn Hon Liu

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

Background. The sequela of retinopathy of prematurity (ROP) is an important cause of infant blindness. This study was designed to screen the high-risk premature infants and investigate the incidence and risk factors associated with the development of ROP. Methods. From October 1997 to October 1998, all premature infants with birth body weight (BBW) less than 2000 gm or gestational age (GA) less than 36 weeks were enrolled and underwent ophthalmologic examination at 4 to 6 weeks of age at Taipei Veterans General Hospital. The perinatal variables were analyzed to evaluate their correlation with the development of ROP. Results. In totally 108 premature infants, the incidence for development of ROP was 25% (27 in 108 patients). The threshold ROP occurred in 15 eyes (7%). The average BBW and GA (1267 ± 341 gm and 29.7 ± 2.7 weeks) were significantly lower in ROP group than in the non-ROP group (1703 ± 368 gm and 32.3 ± 2.2 weeks). The artificial ventilation for more than 5 days, chronic lung disease and periventricular leukomalacia were significant risk factors associated with highest rate of ROP. The respiratory distress syndrome, intraventricular hemorrhage, congenital heart disease and sepsis were significant risk factors accompanied by moderate rate of ROP. Conclusion. Low birth body weight and young gestational age are the most important risk factors in the development of ROP. The analysis of risk factors will be helpful in understanding and prediction of ROP formation in high-risk neonates. The timely clinical screening retina examination of high-risk premature infants is important to prevent the development of advanced ROP.

Original languageEnglish
Pages (from-to)706-712
Number of pages7
JournalChinese Medical Journal (Taipei)
Volume64
Issue number12
Publication statusPublished - Dec 1 2001
Externally publishedYes

Keywords

  • Birth body weight
  • Cryotherapy
  • Gestational age
  • Laser indirect ophthalmoscopy
  • Retinopathy of prematurity

ASJC Scopus subject areas

  • Medicine(all)

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  • Cite this

    Yang, C. S., Chen, S. J., Lee, F. L., Hsu, W-M., & Liu, J. H. (2001). Retinopathy of prematurity: Screening, incidence and risk factors analysis. Chinese Medical Journal (Taipei), 64(12), 706-712.