RT Journal Article
SR Electronic
T1 Incidence and severity of retinopathy of prematurity in Turkey
JF British Journal of Ophthalmology
JO Br J Ophthalmol
FD BMJ Publishing Group Ltd.
SP 1311
OP 1314
DO 10.1136/bjophthalmol-2014-306286
VO 99
IS 10
A1 Ahmet Yagmur Bas
A1 Esin Koc
A1 Ugur Dilmen
A1 ROP Neonatal Study Group
YR 2015
UL http://bjo.bmj.com/content/99/10/1311.abstract
AB Background The purpose of this study was to estimate the current incidence of retinopathy of prematurity (ROP) and the need for treatment in preterm infants in Turkey.Methods The study included preterm infants who had been screened for ROP between 2011 and 2013 in 49 neonatal intensive care units. Infants with birth weight (BW) ≤1500 g or ≤32 weeks’ gestational age and those with BW >1500 g or >32 weeks’ GA with an unstable clinical course were included. The incidence of any ROP or severe ROP and treatment modalities were determined.Results The study population included 15 745 preterm infants: 11 803 (75%) with GA ≤32 weeks, and 3942 (25%) with GA >32 weeks. Overall, 30% were found to have any stage of ROP, and 5% had severe ROP. Severe ROP was diagnosed in 8.2% of infants with BW ≤1500 g and 0.6% of infants with BW >1500 g. Of all infants diagnosed with ROP, 16.5% needed laser photocoagulation, and 20 patients born at >32 weeks’ GA required this treatment modality. Vitroretinal surgery was performed in 28 infants with severe ROP: 23 with GA ≤28 weeks and 5 with GA 29–32 weeks.Conclusions The findings of our study have the important implication that more mature babies are at risk of severe ROP requiring treatment. An effective programme for detecting and treating ROP should be established in Turkey.Trial registration number orcid.org/0000-0002-1329-2167.