Miriam Hyman Children Eye Care Center, L V Prasad Eye Institute, Mithu Tulsi Chanrai Campus, Bhubaneswar, Odisha, India.
Department of Ophthalmology, Tagore Hospital and Heart Center, Jalandhar City, Punjab, India.
Indian J Ophthalmol. 2019 Jun;67(6):824-827. doi: 10.4103/ijo.IJO_972_18.
To analyze the causes for late presentation in a series of patients with advanced retinopathy of prematurity (ROP) in a tertiary eye care institute in Eastern India.
We analyzed our medical records and ROP database retrospectively from 2007 to 2015 and prospectively thereafter till 2017 to identify the factors for late presentation in babies with advanced ROP (stages 4 and 5).
A total of 71 eligible subjects were analyzed. The mean chronological age was 15.1 months (2 months to 14 years). The three important barriers were: (1) the system and neonatal care policy failure (n = 45; 63.3%), (2) parental negligence and ignorance (n = 19; 26.7%), and (3) ophthalmologist's misdiagnosis or unavailability (n = 7; 10%). Majority of the babies (63.3%) were admitted in the neonatal care unit when they were due for ROP screening with an average duration of stay of 35.5 days.
The main barriers to early screening for ROP were related to availability of trained human resources, ignorance of "parents and health care personnel," and distance from the point of care. This calls for training of ophthalmologists, advocacy with neonatologists and parents, and create systems for better coordination and compliance of the care providers.
分析在印度东部一家三级眼科医疗机构中一系列患有晚期早产儿视网膜病变（ROP）的患者就诊较晚的原因。
我们回顾性地分析了 2007 年至 2015 年的病历和 ROP 数据库，并在此后前瞻性地分析至 2017 年，以确定患有晚期 ROP（4 期和 5 期）的婴儿就诊较晚的因素。
共分析了 71 名符合条件的患者。平均月龄为 15.1 个月（2 个月至 14 岁）。三个重要的障碍是：（1）系统和新生儿护理政策失败（n = 45；63.3%），（2）父母的疏忽和无知（n = 19；26.7%），以及（3）眼科医生误诊或无法提供服务（n = 7；10%）。大多数婴儿（63.3%）在应进行 ROP 筛查时被收入新生儿重症监护病房，平均住院时间为 35.5 天。
ROP 早期筛查的主要障碍与培训人力资源的可用性、“父母和医护人员”的无知以及护理点的距离有关。这需要对眼科医生进行培训，与新生儿科医生和父母进行宣传，并建立更好的协调和遵守护理人员的系统。
