RETINOPATHY OF PREMATURITY

Ophthalmology Examination for Retinopathy of Prematurity (ROP)

The current guideline for ROP examinations in the UTMB NICU is as follows:

Which Babies need ROP examination?

• Gestational age 30 weeks or less                                                                                      
• Birthweight 1500g or less
• Birthweight 1500-2000g who meet any of the following conditions:
• SGA or IUGR
• On ventilator more than 24h
• Indocin therapy
• s/p ECMO

When should ROP examinaton be done?

Age of first ROP examination:  4 weeks

Any baby less than or equal to 26 weeks at birth will receive the first exam at 29 weeks GA, and followed weekly (revised guideline, 5/2012)

 

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RESOURCES

The following issues are particularly important:

• Infant criteria for screening
• Timing of initial screening
• Follow-up examination timing
• Treatment recommendations

 

International Committee for the Classification of Retinopathy of Prematurity. Arch Ophthalmol 2005; 123:991-999.  

Accessible here:   http://archopht.jamanetwork.com/article.aspx?articleid=417157

 

American Academy of Pediatrics. Policy Statement. Pediatrics. 131(1) 2013, pp. 189 -195.   Screening Examination of Premature Infants for Retinopathy of Prematurity.

Accessible here: http://pediatrics.aappublications.org/content/131/1/189.full

 

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