Brown D R, Biglan A W, Stretavsky M A
Department of Pediatrics, University of Pittsburgh School of Medicine, Pennsylvania.
J Pediatr Ophthalmol Strabismus. 1987 Sep-Oct;24(5):212-5. doi: 10.3928/0191-3913-19870901-03.
We examined the eyes of 2986 neonates admitted to the Magee-Womens Hospital Neonatal Intensive Care Unit from January 1, 1977, through December 31, 1985, who weighed less than 2000 g at birth or were exposed to added oxygen and later discharged. Fifty-six of these patients had grade III, IV, or V retinopathy of prematurity as defined by Kingham (stage III or IV in the International Classification of Retinopathy of Prematurity system) in at least one eye. All 56 patients were exposed either to added oxygen for more than 50 days or had a birthweight less than 1600 g. We propose that these are more realistic screening criteria than those proposed by the American Academy of Pediatrics (exposure to any added oxygen, birthweight less than 2000 g). Their use will avoid many unnecessary eye exams, while allowing detection of all significant retinopathy of prematurity.
我们检查了1977年1月1日至1985年12月31日期间入住玛吉妇女医院新生儿重症监护病房的2986名新生儿的眼睛，这些新生儿出生时体重不足2000克或曾接受过额外吸氧治疗，随后出院。其中56名患者至少一只眼睛患有金厄姆定义的III级、IV级或V级早产儿视网膜病变（早产儿视网膜病变国际分类系统中的III期或IV期）。所有56名患者要么接受额外吸氧治疗超过50天，要么出生体重低于1600克。我们认为，这些筛查标准比美国儿科学会提出的标准（接受任何额外吸氧治疗、出生体重低于2000克）更切合实际。采用这些标准将避免许多不必要的眼部检查，同时能检测出所有严重的早产儿视网膜病变。
