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ORIGINAL ARTICLE
Year : 2014  |  Volume : 107  |  Issue : 2  |  Page : 70-77

Evaluation of the treatment of retinopathy of prematurity in preterm infants in Alexandria University Hospital


Department of Ophthalmology, Alexandria University, Alexandria, Egypt

Correspondence Address:
Islam S Hamdy Ahmad
25 St, El-Moftsh Hamza, Alexandria
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2090-0686.140637

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Purpose The aim of this study was to document the treatment activities of retinopathy of prematurity (ROP) in the Ophthalmology Department in the Main Alexandria University Hospital during an 18-month period. Patients and methods Infants at risk of ROP were detected during screening of infants at the El-Shatby University Hospital or referred to the Pediatric Ophthalmology Clinic of Main Alexandria University Hospital from any other hospitals for screening or treatment. Screening of infants at risk, classification of findings according to the International Classification of Retinopathy of Prematurity, follow-up fundus examination as needed and treatment by indirect laser ophthalmoscopy, intravitreal ranibizumab injection, or surgical treatment as indicated were carried out. Results In the present study, we found 73 infants (33.74% of the screened infant) suffering from ROP out of 223 preterm infants screened; out of those with ROP, 26 infants had ROP requiring treatment (35.61% of the infants with ROP and 11.66% of the total number of infants screened for ROP); 28 eyes of 14 infants (53.85% of the treated eyes) were treated by ablative indirect laser ophthalmoscopy, 20 eyes of 10 infants (30.77% of the treated eyes) were treated with an intravitreal injection of 0.25 mg in 0.025 ml ranibizumab, two eyes of two infants had lens-sparing pars plicata vitrectomy, and one eye had lensectomy vitrectomy. Conclusion In this study, we document the activities of the treatment of ROP in Alexandria University Hospital; although we apply different modalities of treatment, yet we have a long way to go through to improve the screening and treatment services provided to infants in our hospital.


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