Castro Conde J R, Echániz Urcelay I, Botet Mussons F, Pallás Alonso C R, Narbona E, Sánchez Luna M
Hospital Universitario de Canarias, Universidad de La Laguna, Tenerife.
An Pediatr (Barc). 2009 Dec;71(6):514-23. doi: 10.1016/j.anpedi.2009.07.006. Epub 2009 Oct 6.
ROP screening is carried out at all the Spanish hospitals, but there is little agreement on the criteria used for its screening and other aspects related to its practice. Our aim is to report on recommendations for prevention, screening, treatment and follow-up of the retinopathy of prematurity in Spain. Prevention strategies and recommendations for screening, exploration and treatment of ROP, as well as of the organisation of the services to carry out it are reviewed. The most recent bibliography on the basis of the scientific evidence is considered, taking as reference, the guidelines published by the American Academy of Pediatrics (AAP) in 2006 and the recommendations updated in 2007 in the United Kingdom. The recommended prevention strategies are based on the best neonatal practice. The standards, as far as the screening is concerned, are established by birth weight (< or =1,500 g), gestational age (< or =32 weeks) and unstable neonatal clinical course. Indirect ophthalmoscopy is the standard technique for exploration and laser therapy the treatment of choice.
西班牙所有医院均开展早产儿视网膜病变（ROP）筛查，但在筛查所用标准及与筛查实践相关的其他方面，几乎没有达成共识。我们的目的是报告西班牙关于早产儿视网膜病变预防、筛查、治疗及随访的建议。本文回顾了ROP的预防策略、筛查、检查及治疗建议，以及开展这些工作的服务组织情况。参考了美国儿科学会（AAP）2006年发布的指南以及英国2007年更新的建议，基于科学证据考虑了最新文献。推荐的预防策略基于最佳新生儿诊疗规范。就筛查而言，标准依据出生体重（≤1500克）、胎龄（≤32周）及新生儿临床病程不稳定来确定。间接检眼镜检查是标准的检查技术，激光治疗是首选的治疗方法。
