印度及其他中等收入国家早产儿视网膜病变筛查标准的修订
Modification of screening criteria for retinopathy of prematurity in India and other middle-income countries.
作者信息
Jalali Subhadra, Matalia Jyoti, Hussain Anjli, Anand Raj
机构信息
Smt Kannuri Santhamma Retina Vitreous Centre, L.V. Prasad Eye Institute, L.V. Prasad Marg, Banjara Hills, Hyderabad 500-034, India.
出版信息
Am J Ophthalmol. 2006 May;141(5):966-8. doi: 10.1016/j.ajo.2005.12.016.
PURPOSE
To determine the gestational age and birth weight of premature babies who developed vision-threatening severe retinopathy of prematurity.
DESIGN
Prospective observational study of babies at risk of blindness due to retinopathy of prematurity.
METHODS
Data pertaining to all babies who underwent laser treatment or surgery for acute retinopathy of prematurity and those who had cicatricial retinopathy of prematurity were prospectively collected. The gestational age and birth weight were evaluated to establish screening criteria.
RESULTS
In 120 babies, the mean gestational age was 29.6 weeks (range 26 to 36 weeks). The birth weight of 115 babies ranged from 710 to 2000 g (mean 1254.5 g, SD 280.8). Birth weight was not available for five babies. Only one baby had a gestational age of >35 weeks.
CONCLUSIONS
Ocular morbidity related to retinopathy of prematurity was seen in bigger and more mature babies. This study provides a scientific basis for establishing screening criteria for retinopathy of prematurity in South India and other middle-income countries.
目的
确定发生有视力威胁的重度早产儿视网膜病变的早产儿的胎龄和出生体重。
设计
对有早产儿视网膜病变致盲风险的婴儿进行前瞻性观察研究。
方法
前瞻性收集所有接受过早产儿急性视网膜病变激光治疗或手术以及患有早产儿瘢痕性视网膜病变婴儿的数据。评估胎龄和出生体重以制定筛查标准。
结果
120例婴儿的平均胎龄为29.6周（范围26至36周）。115例婴儿的出生体重在710至2000克之间（平均1254.5克，标准差280.8）。5例婴儿的出生体重数据缺失。只有1例婴儿的胎龄大于35周。
结论
在体型较大、胎龄较大的婴儿中可见与早产儿视网膜病变相关的眼部疾病。本研究为印度南部及其他中等收入国家制定早产儿视网膜病变筛查标准提供了科学依据。
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