Should fewer babies be screened for retinopathy of prematurity?
Aim: To determine whether the inclusion criteria for retinopathy of prematurity screening could be safely altered to reduce the amount of screening.
Patients and methods: A retrospective, hospital records- based study of 125 low birth weight babies in a tertiary neonatal care unit.
Results: The overall frequency of retinopathy of prematurity was 32% — 9.6% of infants had severe retinopathy of prematurity. All infants with severe retinopathy of prematurity had a gestational age of £ 29 weeks, or birth weight of £ 1245 g.
Conclusion: If screening is limited to infants with birth weights of <= 1500 g or a gestational age of <= 28 weeks, no case of severe retinopathy of prematurity would have been missed and 12.8% fewer infants would require screening. The possibility of using the latest American Academy of Pediatrics guidelines for retinopathy of prematurity screening is discussed.
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