Incidence of Retinopathy of Prematurity in Maharat Nakhon Ratchasima Hospital
Main Article Content
Abstract
Aims: (Primary) To study incidence of Retinopathy of prematurity (ROP) in Maharat Nakhon Ratchasima Hospital and (Secondary) to study relation between sex, gestational age (GA), birth weight and oxygen therapy to ROP. Patients & Methods: This retrospective descriptive chart review of newborns who were GA <32 weeks or birth weight <1,500 grams or received oxygen therapy or Pediatricians considered for retinal examination, in Maharat Nakhon Ratchasima Hospital between 1 January 2010 and 31 December 2011. All newborns underwent serial retinal examination and recorded severity of ROP and time when diagnosed. Diagnosis of ROP was based on Criteria of International Classification of Prematurity. Results: 478 Newborns were evaluated and 78 Persons (16.3%) had ROP. The mean birth weight of ROP newborns was 1,319±429.6 grams and mean GA was 29.9±2.9 weeks. For subgroup analysis by birth weight, newborn whose birth weight ≤1,250, ≤1,500, ≤2,000, >1,500 and >2,000 grams had ROP 33.3%, 25.1%, 17.4%, 7.2% and 7.7%, consecutively. For subgroup analysis by GA, newborn whose GA <28, ≤32 and >32 weeks has ROP 46.7%, 19.4% and 8.7%, consecutively. Low birth weight and Low GA had statistical significant related to ROP. Conclusion: Incidence of ROP in Maharat Nakhon Ratchasima Hospital was 16.3% and newborn whose birth weight >2,000 grams could be found ROP 7.7%
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
References
Terry T. Extreme prematurity and fibroblastic overgrowth of persistent vascular sheath behind each crystalline lens I. Preliminary report. Am J Ophthalmol 1942; 25: 203-4.
Chang SY, Shu JL, Feng LH, Wen MH, Jorn HL. Retinopathy of prematurity: screening, incidence and risk factor analysis. Chin Med J (Taipei) 2001; 64: 706-12.
Chemett R, Darlow B.Result of screening low-birth-weight infants for retinopathy of prematurity. Curr Opin Ophthalmol 1999; 10: 155-63.
Nissenkom I, Wjjsenbeek Y, Cohen S.Etiology of blind-ness in children in Israel in recent years.Acta XXV Council Ophthalmol 1989; 25: 742-4.
Gibson DL, Sheps SB, Schechter MT, Wiggins S, Mc-Cormick AQ. Retinopathy of prematuriy: new epidemic? Pediatrics 1989; 83: 486-92.
Valentine PH, Jackson JC, Kalina RE, Woodrum DE. In-creased survival of low birth weight infants: impact on the incidence of retinopathy of prematurity. Pediatrics 1989; 84: 442-5.
Gibson DI, Sheps SB, Uh SH, Schechter MT, McComick AQ. Retinopathy of prematurity-induced blindness: birth weight-specific survival and the new epidemic. Pedics 1990; 6: 405-12.
Goggin H, O'Keefe M. Childhood blindness in the Republic of Ireland; a national survey. Br J Ophthalmol 1991; 75: 425-49.
Fleck BW, Dangata Y. Causes of visual handicap in the Royal Blind School, Edinburgh, 1991-2. Br J Ophthalmol 1994; 78: 421.
Schalj-Delfos NE, Cats BP. Retinopathy of prematurity: the continuing threat to vision in preterm infants. Acta Ophthalmol Scand 1997; 75: 72-5.
Steinkuller PG, Du L, Gilbert C, Foster A, Colins ML, Coats DK. Childhood blindness. J AAPOS 1999; 3:26-32.
Gilbert C, Foster A. Childhood blindness in the context of vision 2020-the right to sight. Bulletin of the world Health Organization 2001; 79: 227-32.
Pizzarello L, Abiose A, Ffytche T, Duerksen R, Thulasiraj R, Taylor H, et al. Vision 2020: The Right to sight: a global initiative to eliminate avoidable blindness. Arch Ophthalmol 2004; 122: 615-20.
Gilbert C, Rahi J, Eckstein M, O'Sullivan J, Foster A. Retinopathy of prematurity in middle-income countries. Lancet 1997; 350: 12-4.
Phan MH, Nguyen PN, Reynolds JD. Incidence and sever-ity of retinopathy of prematurity in Vietnam, a developing middle-income country. J Pediatr Ophthalmol Strabismus 2003; 40: 208-12.
Jutalai T, Wanicha L, Chakrapong N, Apichart Retinopathy of prematurity. Thai J Ophthalmol 1993; 7:107-13.
Ponchai S, Busaba N, Sirisopit T, Anan T. Retinopathy of prematurity in Ramathibodi Hospital (1989-1993). Thai J Ophthalmol 1994; 8: 27-34.
Surain W. Thawat T, Supapom T, Rathapoom S. Reti-nopathy of prematurity in Sonklanagarind Hospital. Thai J Ophthalmal 1995; 9: 157-66.
เพ็ญนี สิงหะ, สุภาภรณ์ เติงไตรสรณ์, ประสิน จันทร์วิทัน. อุบัติการณ์ของโรคจอตาในทารกเกิดก่อนกำหนดที่มีน้ำหนักแรกเกิดไม่เกิน 2,000 กรัม ในโรงพยาบาลสงขลานครินทร์สงขลานครินทร์เวชสาร 2551; 26: 377-83.
สำนักพัฒนาวิชาการแพทย์แนวทางตรวจคัดกรอง และการดูแลรักษาโรคจอประสาทตาผิดปกติในทารกแรกเกิดก่อนกำหนด กรุงเทพมหานคร: กรมการแพทย์ 2547.
Trinavarat A,Atchaneeyasakul LO, Udompunturak S. Ap-plicability of American and British criteria for screening of the retinopathy of prematurity in Thailand. Ipn J Ophalmol 2004; 48: 50-3.
ศักดิ์ชัย วงศ์กิตติรักษ์. หลักเกณฑ์การตรวมคัดกรองโรคจอประสาทตาในทารกคลอดก่อนกำหนดขวงสหรัฐอเมริกาเหมาะสมสำหรับใช้ในประเทศไทยจริงหรือไม่ จุลสารชมรมจักษุวิทยาและตาเข 2546; 1: 17-9.
An intermational classification of retinopatly prematurity. The Committee for the Classification of Retinopathy of Prematurity. Arch Ophthalmol 1984; 102 1130-4.
Palmer EA, Flynn JT, Hardy RJ, Phelps DL, Philips CL, Schaffer DB. Incidence and early course of retinopathy of prematurity. The Cryotherapy for Retinopahy of Prematurity Cooperative Group. Ophthalmology 199 ; 98: 1628-40.
Good WV, Hardy RJ, Dobson V, Palmer EA, Phelps DL, Quintos M, et al The incidence and courseof retinopathy of prematurity: findings from the early treatment for retinopathy of prematurity study. Pediatrics 2005; 115: 15-23.
Andruscavage L, Weissgold DJ. Screening for retinopathy of prematurity. Br J Ophthalmol 2002; 86:1127-30.
Darlow BA, Incidence of retinopathy of prematurity in New Zcaland. Arch Dis in Childhood 1988; 63:1086-7.
Acheson JF, Schulenburg WE. Surveillance for retinopathy in practice: Experience from one neonaal intensive care unit. Eye 1991; 5: 80-5.
Fielder AR, Shaw DE, Robinson J, et al. Natural history of retinopathy of prematurity : A prospective study. Eye 1992; 6: 233-42.
Holmstrom G, EI Azazi M, Jacobson L Sachs D, Sule J, Lennerstrand G. Epidemiology of ROP in Stockholm area of Sweden. Acta Ophthalmol Suppl 1993; 210: 44-7.
Shah VA, Yeo CL, Ling YLF, Ho LY. Incidence, Risk Factors of Retinopathy of Prematurity Among Very Low Birth weight Infants in Singapore. Ann Acad Med Singapore 2005; 34: 169-78.