Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India.
Indian J Ophthalmol. 2011 Nov-Dec;59(6):427-30. doi: 10.4103/0301-4738.86307.
To evaluate the prevailing practices for proper screening and referral scheme among Indian pediatricians for retinopathy of prematurity (ROP).
Pediatricians registered with Indian Academy of Pediatrics from six states of India were selected randomly and were telephonically interviewed in accordance with a preformed questionnaire which comprised of questions regarding demographic factors, number of premature children seen per month, awareness and referral scheme to ophthalmologist; responses thus obtained were analyzed.
Hundred percent knowledge about ROP and need for screening in premature babies was observed among the respondents. However, only 135 (58%) pediatricians always referred for ROP screening, 19 (8%) referred only sometimes and 80 (34%) did not refer at all. Consistent referral protocols taking into account all plausible risk factors for ROP were followed by only 25% of those who always referred. Major deterrent in ROP screening was perceived as non-availability of trained ophthalmologists.
Only 14.5% of total pediatricians contacted were following international recommendations for ROP referral. Screening for ROP remains dismal as observed in this pilot survey as a consequence of non-availability of trained ophthalmologists as well as inconsistent screening guidelines.
评估印度儿科医生在早产儿视网膜病变（ROP）筛查和转诊方案方面的现行实践情况。
随机选择来自印度六个邦的印度儿科学会注册儿科医生，并根据预编制的问卷进行电话访谈，问卷内容包括人口统计学因素、每月早产儿就诊人数、对眼科医生的认识和转诊方案等问题；对获得的回答进行分析。
受访者对 ROP 和早产儿筛查的必要性均有 100%的了解。然而，只有 135 名（58%）儿科医生始终会转诊进行 ROP 筛查，19 名（8%）偶尔转诊，80 名（34%）则根本不转诊。始终转诊的医生中，仅有 25%遵循了考虑所有可能 ROP 风险因素的一致转诊方案。缺乏经过培训的眼科医生被认为是 ROP 筛查的主要障碍。
在联系的儿科医生中，仅有 14.5%遵循了 ROP 转诊的国际建议。正如本次初步调查所观察到的，由于缺乏经过培训的眼科医生以及不一致的筛查指南，ROP 的筛查仍然不佳。
