Fleck B W, Wright E, Dhillon B, Millar G T, Laing I A
Department of Ophthalmology, Royal Infirmary, Edinburgh, UK.
Eye (Lond). 1995;9 ( Pt 6 Su):31-5.
To test the effectiveness of the 1995 Royal College of Ophthalmologists (RCO) guidelines for screening for retinopathy of prematurity (ROP) in one regional neonatal intensive care unit, an analysis was carried out of screening examination results over a 4 year period, retrospectively applying the rules of the 1995 RCO guidelines. Four hundred and forty-eight examinations would have been performed in 258 infants, significantly fewer than the 764 examinations which had been performed using our existing screening protocol. Threshold ROP developed in 36 infants, and would have been detected promptly in every case. No case of threshold ROP developed in infants of birth weight greater than 1250 g. The 1995 RCO guidelines for ROP screening provide an effective and efficient means of detecting treatable ROP. The need to include infants of birth weight > 1250 g should be reviewed at a future date, following a period of further national data collection.
为了检验1995年皇家眼科医学院（RCO）早产儿视网膜病变（ROP）筛查指南在某一地区新生儿重症监护病房的有效性，我们对4年期间的筛查检查结果进行了分析，回顾性地应用了1995年RCO指南的规则。258名婴儿本应进行448次检查，这显著少于按照我们现有的筛查方案所进行的764次检查。36名婴儿出现了阈值ROP，并且在每种情况下都能及时检测到。出生体重超过1250克的婴儿未出现阈值ROP病例。1995年RCO的ROP筛查指南提供了一种有效且高效的方法来检测可治疗的ROP。在经过一段时间的进一步全国数据收集后，未来应重新审视将出生体重>1250克的婴儿纳入筛查的必要性。
