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Key Points   Question  What is the prevalence of visually disabling retinopathy of prematurity in Sweden and how is it associated with quality of care?    Findings  In this population-based cohort study of 1 310 227 infants born alive in Sweden in 2004 to 2015, 1 in 77 000 or 1 in 1000 very preterm infants (<32 weeks of gestational age) became severely visually disabled by retinopathy of prematurity. In 11 of 17 infants (65%), disability was considered avoidable because of nonadherence to best practice, as well as flaws in structural capacity.    Meaning  Severe visual impairment associated with retinopathy of prematurity is preventable in most cases.

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Prevalence of Severe Visual Disability Among Preterm Children With Retinopathy of Prematurity and Association With Adherence to Best Practice Guidelines