First Author: K.Alshehri SAUDI ARABIA
Co Author(s): S. Waheeb 0 0 0 0 0 0 0 0 0
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to review the incidence of retinopathy of prematurity ( ROP ) and identifying the risk factors among neonatal intensive care unit premature infants at two tertiary centers, king faisal specialist hospital and king abdulaziz university hospital in Jeddah, Saudi arabia.
At king faisal specialist hospital and king abdulaziz university hospital in jeddah, saudi arabia.
In this cohort study, we have followed 92 preterm infants who had been admitted to neonatal intensive care unit from 2012 to 2013. The study was applied on preterm infants who have gestational age < 32 weeks and/or birth weight < 1500g. The guideline of American academy of pediatric were followed to screen these cases.
out of the studied 92 infants, 31 infants ( 33.7 % ) developed ROP in one or both eyes with mean gestational = 26.7 weeks and mean birth weight = 0.843 kg . The birth weight ranging between 0.606 kg to 1.450 kg and gestational age ranging between 24 w to 29 w. stage 1 was in 7 cases, stage 2 was in 10 cases , stage 3 was in 14 cases. plus disease occurred in 12 cases( 38.7%) all of them received laser therapy within 72hr of the diagnosis. Additional risk factors like PDA(P – value =0.0005), IVH( P – value = 0.0005) and hydrocephalus(P – value = 0.008) were significant in the incidence of ROP. None of the studied neonates presented ROP at stages 4 or 5.
the incidence of ROP was 33.7 %. the risk factors like low gestational age, low birth weight, PDA, IVH, and hydrocephalus were significant. The laser that we used for the 12 cases were very effective in treatment of ROP and prevent progression of the disease. Therefore, clinicians should be aware of the presence of these risk factors when monitoring premature infants.