TO SCREEN THE HIGH RISK TERM AND PRETERM BABIES FOR ROP

Abstract

Background & Methods: The aim of the study is to screen the high risk term and preterm babies for ROP. The pupil were dilated with Mydriatic drop (tropicamide 1%+ phenylephrine 2.5%) instilled at 10 min interval about 1 hour before the scheduled examination, Baby
shouldn’t be fed immediately before the examination as the child may vomit or aspirate.
Results: Of the 200 cases screened 90 had a history of oxygen therapy, of these 33 (75%) in preterm & 51 screened 2 (4.54%) in term developed ROP. Out of 200 cases, considering poor postnatal weight gain in preterm 21(47.7%) out of 100 & in term 1(2.27%) out of 52
developed ROP. Out of 200 cases, 29 (65.9%) out of 120 cases in preterm & 1(2.27%) out of 29 in term developed ROP, considering phototherapy as a risk factor. Out of 200 cases, 14(31.8%) out of 40 in preterm &1(2.27%) out of 33 had history of Respiratory distress
Syndrome (RDS), developed ROP. Of the 8 cases of multiple birth in this study were twins, and 5(11.3%) in preterm & 1(2.27%) out of 6 in term developed ROP.
Conclusion: The incidence of ROP is increasing due to increased survival of low-birth weight babies. Screening of high risk infants is essential to detect ROP. Incidence ROP in preterm – 30.0% (total sample of preterm 140) & in term – 3.33% (total sample of term 60).
Birth weight > Lower gestational age > Duration of oxygen exposure > Respiratory distress > Phototherapy > Poor postnatal weight gain > Jaundice > IVH > Apnea > Anemia > BT > Sepsis > Twins