Results of screening for retinopathy of prematurity: how the ideal screening program should be?/Premature retinopatisi tarama sonuclarimiz: ideal tarama programi nasil olmali?

Objectives: To determine the rate of infants with retinopathy of prematurity (ROP) requiring treatment, to investigate the relation of this rate with birth age and birth weight, and to discuss the screening criteria eligible for our country. Materials and Methods: Medical records of premature infants examined for ROP with birth weight [less than or equal to]2000 gram (g) and/or gestational age [less than or equal to]34 weeks were evaluated. Patients were grouped according to their birth weights as [less than or equal to]1000 g, 1001-1500 g, >1500 g, and according to gestational age as [less than or equal to]27 weeks, 28-31 weeks, [greater than or equal to]32 weeks. The rate of patients with treatment-requiring ROP was evaluated in these groups. The birth weights and gestational ages of these patients were analyzed. Results: Treatment requiring ROP stages were detected in 100 (8%) of 1250 infants. The mean gestational age and birth weight of these patients was 28.3 [+ or -] 2.3 (24-34) weeks and 1152.2 [+ or -] 396 (520-2120) g respectively, and both were found lower than those of nontreated infants (p1500 g required treatment. According to the gestational age, 33 (19.4%) of 170 infants [less than or equal to]27 weeks, 59 (10.3%) of 572 infants between 28-31 weeks, 8 (1.6%) of 508 infants [greater than or equal to]32 weeks required treatment. Conclusion: The best way to avoid the vision loss due to ROP is to establish a regular screening program including every infant that may require treatment. So we recommend that screening criteria for our country should be wider than applied in developed countries, and babies having gestational age [less than or equal to]34 weeks and/or birth weight [less than or equal to]2000 g should be screened for ROP. (Turk J Ophthalmol 2014; 44: 42-6) Key words: Retinopathy of prematurity, screening criteria, birth weight, gestational age Amac: Premature retinopatisi (PR) acisindan taranan bebeklerde tedavi gerektiren PR gorulme oranini saptamak, bu oranin dogum haftasi ve dogum agirligiyla iliskisini incelemek, ulkemiz icin uygun tarama kriterlerini tartismak. Gerec ve Yontem: Premature retinopatisi taramasi kapsaminda muayenesi yapilan, dogum kilosu [less than or equal to]2000 gram (g) ve/veya dogum yasi [less than or equal to]34 hafta olan premature bebeklerin dosya k