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Incidence and risk factors of retinopathy of prematurity in neonatal intensive care units: Mansoura, Egypt
Author(s) -
Rania Bassiouny,
Rasheed S Ellakkany,
Samy A Aboelkhair,
Tarek Mohsen,
Ihab Saad Othman
Publication year - 2017
Publication title -
journal of egyptian ophthalmological society
Language(s) - English
Resource type - Journals
eISSN - 2314-6648
pISSN - 2090-0686
DOI - 10.4103/ejos.ejos_25_17
Subject(s) - medicine , retinopathy of prematurity , pediatrics , incidence (geometry) , gestational age , birth weight , fundus (uterus) , intensive care , obstetrics , low birth weight , sepsis , neonatal intensive care unit , pregnancy , ophthalmology , surgery , intensive care medicine , genetics , physics , optics , biology
BackgroundRetinopathy of prematurity ROP is a leading cause of blindness affecting ∼50 000 children worldwide. The incidence of the disease varies among different countries, it is influenced by the level of perinatal care, the existence of screening programs for early diagnosis. Low birth weight BW, small gestational age GA, other antenatal, postnatal risk factors have been identified with their relation to the severity of the disease. AimThe aim of this research was to study the incidence and risk factors of ROP in preterm babies at neonatal intensive care units, Mansoura city. Patients and methodsThis study included 402 preterm infants admitted to neonatal intensive care units in Mansoura city in the period from March 2013 to March 2015. Fundus examination was done using indirect ophthalmoscopy and a 28 D lens, and fundus images were captured using wide-field digital fundus camera (Retcam 3). ResultsOut of the 402 screened preterm babies, 237 (59%) cases had ROP, among whom 101 (42.6%) had stage 1, 114 (48.1%) had stage 2, 12 (5.1%) had stage 3, 10 (4.2%) had aggressive posterior retinopathy, and 24 (10.1%) presented with plus disease. GA, BW, oxygen therapy, sepsis, multiple birth, and cesarean section were factors found to be significantly associated with the disease. ConclusionROP occurred in 59% of all screened preterm babies. The main risk factors for the development of ROP were GA, BW, oxygen therapy, sepsis, multiple birth, and cesarean section

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