Sachan Anusha, Chandra Parijat, Agarwal Ramesh, Vohra Rajpal, Chawla Rohan, Sankar M Jeeva, Kumawat Devesh, Kumar Atul
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, New Delhi, India.
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, New Delhi, India. Correspondence to: Dr Parijat Chandra, Professor, Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi 110 029, India.
Indian Pediatr. 2020 Nov 15;57(11):1020-1022. Epub 2020 Jun 12.
To study the profile of retinopathy of prematurity (ROP) among outborn and inborn babies at a tertiary-care centre.
In a prospective observational study from 2015-2016, outborn and inborn babies eligible for ROP screening were evaluated for ROP profile and treatment results.
532 outborns and 38 inborns had ROP. Respi-ratory distress, sepsis and apnea were present in 81.3%, 51.5% and 36.2% of outborns with ROP and 68.4%, 39.4% and 36.8% of inborns with ROP. Type 1 ROP was noted in 49.2% eyes of outborns with ROP and 36.8% eyes of inborns with ROP. Type 1 ROP regressed with laser in 97.3% and 100% eyes of outborn and inborn with ROP, respectively. Stage 4, 5 and sequelae were noted in 5.2%, 22.8% and 4.6% eyes of outborns with ROP, respectively, but none in inborns.
Quality neonatal care and timely screening ensured lesser ROP-related morbidity in inborns as compared to outborns.
研究一家三级医疗中心出生后转来及本地出生婴儿的早产儿视网膜病变（ROP）情况。
在一项2015 - 2016年的前瞻性观察研究中，对符合ROP筛查条件的出生后转来及本地出生的婴儿进行ROP情况及治疗结果评估。
532名出生后转来的婴儿和38名本地出生的婴儿患有ROP。患有ROP的出生后转来婴儿中，81.3%有呼吸窘迫、51.5%有败血症、36.2%有呼吸暂停；患有ROP的本地出生婴儿中，上述比例分别为68.4%、39.4%和36.8%。患有ROP的出生后转来婴儿中，49.2%的眼睛出现1型ROP；患有ROP的本地出生婴儿中，这一比例为36.8%。患有ROP的出生后转来和本地出生婴儿中，1型ROP分别有97.3%和100%的眼睛经激光治疗后病情缓解。患有ROP的出生后转来婴儿中，分别有5.2%、22.8%和4.6%的眼睛出现4期、5期病变及后遗症，而本地出生婴儿中未出现这些情况。
与出生后转来的婴儿相比，优质的新生儿护理和及时筛查确保了本地出生婴儿中与ROP相关的发病率较低。
