Azad Rajvardhan, Chandra Parijat, Patwardhan Sourabh D, Gupta Aparna
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
J Pediatr Ophthalmol Strabismus. 2009 Nov-Dec;46(6):332-4; quiz 335-6. doi: 10.3928/01913913-20091104-04. Epub 2009 Nov 18.
Developing countries often need a modification of the American screening guidelines for retinopathy of prematurity.
A total of 1,302 eyes in 651 infants with retinopathy of prematurity were analyzed by the parameters of gestational age and birth weight suggested by the American guidelines.
With the use of current gestational age and birth weight guidelines, 86 of 1,302 eyes (6.6%) were missed, and 38 of these eyes (2.9%) had potentially treatable or more severe retinopathy of prematurity and were in need of treatment.
Use of the "third criterion" (ie, neonatologist referral of sick infants who were believed to be at high risk for retinopathy of prematurity), enabled larger infants who were otherwise missed by the American guidelines to be included for screening. Even when the parameters were increased, a relatively small number of infants was still missed. Therefore, in view of the limited resources and manpower in developing countries, the American screening guidelines are appropriate.
发展中国家常常需要对美国早产儿视网膜病变筛查指南进行调整。
根据美国指南所建议的胎龄和出生体重参数，对651例患有早产儿视网膜病变的婴儿的1302只眼睛进行了分析。
按照当前的胎龄和出生体重指南，1302只眼睛中有86只（6.6%）被漏筛，其中38只眼睛（2.9%）患有潜在可治疗的或更严重的早产儿视网膜病变，需要进行治疗。
采用“第三条标准”（即由新生儿科医生对被认为有高风险患早产儿视网膜病变的患病婴儿进行转诊），能让那些按照美国指南原本会被漏筛的较大婴儿纳入筛查范围。即便提高了参数，仍有相对少数的婴儿被漏筛。因此，鉴于发展中国家资源和人力有限，美国的筛查指南是合适的。
