ESTABLISHMENT OF FIRST NEONATAL SCREENING PROGRAM FOR RETINOPATHY OF PREMATURITY AT SECONDARY NEONATAL CARE CENTRE IN HYDERABAD, PAKISTAN

Main Article Content

Heeramani Lohana
Sarwat Urooj
Mansoor Abro
Maria Nazish
Hussain Shah
Sheraz Ahmed
Fayaz Umrani
Ambreen Memon

Keywords

Preterm, Retinopathy of prematurity, Risk factors

Abstract

This retrospective study aims to describe the frequency and risk factors for retinopathy of prematurity (ROP) identified through the establishment of the first neonatal screening program for ROP at Aga Khan Maternal and Childcare Center, a secondary-level hospital in Hyderabad, Pakistan. Medical records of preterm infants admitted between January to December 2014 with a gestational age ≤34 weeks or birth weight ≤2000g were reviewed. A total of 158 infants who underwent retinal screening between 4-6 weeks of age using indirect ophthalmoscopy were included, of which ROP was detected in 27 infants (17%) across stages I-IV. Key risk factors observed for ROP included oxygen therapy, sepsis, anemia and low birth weight. This study provides valuable data on the burden of ROP at a secondary care center in Pakistan and emphasizes the importance of screening programs for early detection and management to prevent ROP-associated blindness, especially given advancing neonatal care in low resource settings.

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