Alpay Atilla, Uğurbaş Suat Hayri
Department of Ophthalmology, Zonguldak Karaelmas University Faculty of Medicine, Zonguldak, Turkey.
Turk J Pediatr. 2012 Mar-Apr;54(2):113-8.
The objective of this study was to determine the incidence, risk factors and severity of retinopathy of prematurity (ROP) and to establish screening criteria for our region. Data on 330 infants with gestational age at birth < or = 34 weeks were analyzed retrospectively for a ROP diagnosis and risk factors. Infants with type 1 ROP were treated with argon laser photocoagulation. ROP was detected in 106 of 330 infants; 18 infants had type 1 ROP and were treated. Two infants with ROP that progressed to stage 4 disease required surgery. No treatment was needed in infants born after 32 weeks of gestation. Respiratory distress syndrome and low gestational age were the most important risk factors for type 1 ROP. In the West Black Sea region of Turkey, screening all premature infants with a gestational age < or = 32 weeks or a birth weight < or = 1900 g appears to be appropriate.
本研究的目的是确定早产儿视网膜病变（ROP）的发病率、危险因素和严重程度，并为本地区制定筛查标准。对330例出生时胎龄≤34周的婴儿进行回顾性分析，以确定ROP诊断及危险因素。1型ROP婴儿接受氩激光光凝治疗。330例婴儿中106例检测出ROP；18例1型ROP婴儿接受了治疗。2例ROP进展至4期疾病的婴儿需要手术治疗。孕32周后出生的婴儿无需治疗。呼吸窘迫综合征和低胎龄是1型ROP最重要的危险因素。在土耳其西黑海地区，对所有胎龄≤32周或出生体重≤1900g的早产儿进行筛查似乎是合适的。
