巴西参与早产儿视网膜病变护理的眼科医生的当前实践与概况。

Current practices and profiles of ophthalmologists involved in retinopathy of prematurity care in Brazil.

作者信息

Rossetto Julia D, Hopker Luisa M, Gomes Saint Clair, Roisman Luiz, Zin Andrea A

机构信息

Ophthalmology Department, Instituto de Puericultura Martagão Gesteira-Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil; Clinical Research Department, National Institute of Women, Children and Adolescents Health Fernandes Figueira, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.

Ophthalmology Department, Hospital de Olhos do Paraná, Curitiba, Brazil.

出版信息

J AAPOS. 2023 Apr;27(2):116-119. doi: 10.1016/j.jaapos.2023.01.015. Epub 2023 Mar 8.

DOI:10.1016/j.jaapos.2023.01.015

PMID:36898657

Abstract

Retinopathy of prematurity (ROP) care in Brazil varies in availability of resources and infrastructure. A cross-sectional survey was conducted among ophthalmologists of the Brazilian ROP Group (BRA-ROP) to assess the profiles and practices of ophthalmologists involved in ROP care. A total of 78 responses of BRA-ROP participants (79%) were included. Participants were mostly retina experts (64.1%), female (65.4%), and over 40 years of age (60.2%). Eighty-six percent reported following Brazil's ROP screening criteria. Retinal imaging is available to 16.9% of respondents; fluorescein angiography, to 1.4%. For ROP stage 3 zone II (with plus disease), laser treatment was the preferred treatment (78.9%); for aggressive ROP, anti-VEGF was favored (66.2%). There were significant regional differences in treatment choice. Not all respondents continued to follow treated patients after discharge from the neonatal intensive care unit, highlighting an aspect of ROP care in need of improvement.

摘要

巴西早产儿视网膜病变（ROP）护理在资源和基础设施的可及性方面存在差异。对巴西ROP研究组（BRA-ROP）的眼科医生进行了一项横断面调查，以评估参与ROP护理的眼科医生的概况和做法。共纳入了78份BRA-ROP参与者的回复（79%）。参与者大多是视网膜专家（64.1%），女性（65.4%），年龄超过40岁（60.2%）。86%的人报告遵循巴西的ROP筛查标准。16.9%的受访者可获得视网膜成像；荧光素血管造影为1.4%。对于ROP 3期二区（伴有plus病变），激光治疗是首选治疗方法（78.9%）；对于侵袭性ROP，抗血管内皮生长因子（anti-VEGF）治疗更受青睐（66.2%）。治疗选择存在显著的地区差异。并非所有受访者在新生儿重症监护病房出院后都继续随访接受治疗的患者，这凸显了ROP护理中需要改进的一个方面。