Lidmila Procházková, Martina Závorková (Ústí Nad Labem, Czech Republic)

Advantages:

Authors evaluated the long-term results of screening test for ROP in children born in Ústí Nad Labem between January 1, 1993 and December 31, 2001.

Methods:

Dispensarization is obligatory in children with birth weight lower than 1500g and with birth coming before the 32nd gestational week. We examined children up to 2000g of weight. This paper evaluates the number of children and the frequence of ROP in particular weight categories.  We have also examined how many children with ROP has had their retinal periphery treated by cryocoagulation. Finally we inspect the finding of ophtalmoscopy when the child is released from the Neonatal department. All the children from this group were invited for a check-up and the authors assessed the visual acuity, retinal findings, occurrence of refractive defects and strabismus, which is the topic of Dr. Závorková’s presentation. Results: 568 children were born with a birth weight lower than 2000g. There were 8 children with birth weight below 750g, 56 below 1000g, 87 below 1250g, 112 below 1500g, and 305 below 2000g. ROP was diagnosed in 49 children (8,6%). Out of 98 eyes (in 49 children with ROP) 38 were classified as 1st grade, 23 as 2nd grade, 32 as 3rd grade and 3 as 4th grade. In 2 eyes there was no ROP. Cryocoagulation was used in 17 children (3%) on 29 eyes and was usually performed within a week after detecting the 3rd grade of ROP. With improved care of premature children the appearance of ROP shifted into lower weight categories.

Effectiveness / Safety:

Although ROP occurs mostly in children with birth weight about 1000g, it is necessary to examine children up to 1500 – 2000g, because in 4 children up to 2000g was found ROP also.