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Retinopathy of Prematurity (ROP): Current Management Strategies

Abha Chaorsiya, Ahongsangbam Sanathoi Chanu, Deepika Bajwan

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International Journal of Pediatric Nursing 10(2):p 77-80, July- Aug 2024. | DOI: https://doi.org/10.21088/ijpen.2454.9126.10224.4

How Cite This Article:

Abha Chaorsiya, Ahongsangbam Sanathoi Chanu, Deepika Bajwan. Retinopathy of Prematurity (ROP): Current Management Strategies. Int J Pediatr Nurs. 2024;10(2):77–80.

Timeline

Received : June 25, 2024         Accepted : July 14, 2024          Published : August 30, 2024

Abstract

Worldwide, retinal deficiency of prematurity, or (ROP), continues to be a major cause of blindness and visual impairment in preterm infants. Control efforts face substantial obstacles as the frequency of ROP and its associated visual impairment continue to rise in some locations despite breakthroughs in newborn child care. The objective of this article is to present a summary of the current understanding of ROP, including risk factors, screening recommendations, pathophysiology, and therapy approaches. Premature children, especially those delivered before 32 weeks of pregnancy or weighing less than 1500 grammes at birth, are more susceptible to ROP because of aberrant retinal vascular development in these cases. ROP is influenced by a number of risk factors, which can include low birth weight, prolonged oxygen therapy, and systemic disorders. For the proper early detection and treatment of ROP, timely screening with retinal examination is essential. Surgical intervention in severe cases, anti-vascular endothelial growth factor (anti-VEGF) injections, laser therapy, and observation are among the management techniques for ROP. The results for newborns with ROP have improved thanks to developments in ophthalmology and neonatal care; yet, issues like longterm follow-up and access to care still need to be resolved.


References

  • 1.   Bhende, P. (2020). Retinopathy of prematurity. Indian Journal of Ophthalmology, 68(13), 10. https://doi. org/10. 4103/ijo. ijo_2378_19
  • 2.   Chiang, M. F., Quinn, G. E., Fielder, A. R., Ostmo, S. R., Paul Chan, R. V., Berrocal, A., Binenbaum, G., Blair, M., Peter Campbell, J., Capone, A., Chen, Y., Dai, S., Ells, A., Fleck, B. W., Good, W. V., Elizabeth Hartnett, M., Holmstrom, G., Kusaka, S., Kychenthal, A., & Lepore, D. (2021). International Classification of Retinopathy of Prematurity, Third Edition. Ophthalmology, 128(10), e51–e68. https://doi. org/10. 1016/j. ophtha. 2021. 05. 031
  • 3.   Gupte, S. (2016). The short Textbook of Pediatrics (12th edition, pp. 804–805). Jaypee Brothers Medical Publishers (P) Ltd.
  • 4.   Hong, E. H., Shin, Y. U., & Cho, H. (2022). Retinopathy of prematurity: a review of epidemiology and current treatment strategies. Clinical and Experimental Pediatrics, 65(3), 115– 126. https://doi. org/10. 3345/cep. 2021. 00773
  • 5.   Kim, S. J., Port, A. D., Swan, R., Campbell, J. P., Chan, R. V. P., & Chiang, M. F. (2018). Retinopathy of prematurity: a review of risk factors and their clinical significance. Survey of Ophthalmology, 63(5), 618–637. https://doi. org/10. 1016/j. survophthal. 2018. 04. 002
  • 6.   Paul, vinod K., & Bagga, A. (2013). Ghae essential Pediatrics (Eighth, pp. 666–667). CBS Publishers. (Original work published 2013)
  • 7.   Sabri, K., Ells, A. L., Lee, E. Y., Dutta, S., &Vinekar, A. (2022). Retinopathy of Prematurity: A Global Perspective and Recent Developments. Pediatrics, 150(3). https://doi. org/10. 1542/peds. 2021-053924
  • 8.   Sam Ebenezer Athikarisamy, Anand Vinekar, & Sanjay Patole. (2023). Retinopathy of prematurity in India – what can we learn from the polio legacy? The Lancet Regional Health - Europe, 14, 100210–100210. https://doi. org/10. 1016/j. lansea. 2023. 100210
  • 9.   Tsai, A. S. H., Acaba-Berrocal, L., Sobhy, M., Cole, E., Ostmo, S., Jonas, K., Campbell, J. P., Chiang, M. F., & Chan, R. V. P. (2022). Current Management of Retinopathy of Prematurity. Current Treatment Options in Pediatrics, 8(3), 246–261. https://doi. org/10. 1007/s40746- 022-00249-8

Data Sharing Statement

There are no additional data available. All raw data and code are available upon request.

Funding

This research received no funding.

Author Contributions

All authors contributed significantly to the work and approve its publication.

Ethics Declaration

This article does not involve any human or animal subjects, and therefore does not require ethics approval.

Acknowledgements

We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.

Conflicts of Interest

No conflicts of interest in this work.


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Cite this article

Abha Chaorsiya, Ahongsangbam Sanathoi Chanu, Deepika Bajwan. Retinopathy of Prematurity (ROP): Current Management Strategies. Int J Pediatr Nurs. 2024;10(2):77–80.


Licence:

Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


Received Accepted Published
June 25, 2024 July 14, 2024 August 30, 2024

DOI: https://doi.org/10.21088/ijpen.2454.9126.10224.4

Keywords

Retinopathy of Prematuritypremature infantsIncomplete vascularisationHypoxiaVEGFRetinal Detachmentvisual impairment

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Received June 25, 2024
Accepted July 14, 2024
Published August 30, 2024

licence


Attribution-Non-commercial 4.0 International (CC BY-NC 4.0)

This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator.


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