Profile of Retinopathy of Prematurity in Outborn and Inborn Babies at a Tertiary Eye Care Hospital

Objectives To study the profile of retinopathy of prematurity (ROP) among outborn and inborn babies at a tertiary-care centre. Methodology In a prospective observational study from 2015–2016, outborn and inborn babies eligible for ROP screening were evaluated for ROP profile and treatment results. Results 532 outborns and 38 inborns had ROP. Respiratory distress, sepsis and apnea were present in 81.3%, 51.5% and 36.2% of outborns with ROP and 68.4%, 39.4% and 36.8% of inborns with ROP. Type 1 ROP was noted in 49.2% eyes of outborns with ROP and 36.8% eyes of inborns with ROP. Type 1 ROP regressed with laser in 97.3% and 100% eyes of outborn and inborn with ROP, respectively. Stage 4, 5 and sequelae were noted in 5.2%, 22.8% and 4.6% eyes of outborns with ROP, respectively, but none in inborns. Conclusions Quality neonatal care and timely screening ensured lesser ROP-related morbidity in inborns as compared to outborns.