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Denier M, Kermorvant-Duchemin E, Barjol A, Caputo G, Chapron T. Retinal detachment following retinopathy of prematurity in France: Screening and treatment pathways. Acta Paediatr 2023; 112:2516-2521. [PMID: 37681343 DOI: 10.1111/apa.16970] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Revised: 08/30/2023] [Accepted: 08/31/2023] [Indexed: 09/09/2023]
Abstract
AIM Preterm children are highly vulnerable to sensorial impairments through Retinopathy Of Prematurity (ROP). The objective was to determine whether some cases of ROP requiring surgery could be secondary to deficiencies in care pathways. METHODS Descriptive study of neonatal characteristics and the screening/treatment pathways of children treated for stage ≥4A ROP from 2009 to 2020 in a referral unit in France. RESULTS Twenty-five preterm children (44 eyes) were included: median gestational age was 25 weeks, and median birthweight was 700 grams. Eighty-four per cent had received at least one fundus examination, 50% of which were completed on time. At the time of retinal detachment diagnosis, only 36% of the children had received laser or anti-vascular endothelial growth factor (VEGF) intra-vitreal injection. ROP stage was only reported in 8%, and the zone or type was reported in 16% of the files. CONCLUSION The risk of blindness and the effectiveness of laser or anti-VEGF treatment highlight the need to enhance screening and treatment practices in France.
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Affiliation(s)
- Margot Denier
- Pediatric Ophthalmology Department, Rothschild Foundation Hospital, Paris, France
| | - Elsa Kermorvant-Duchemin
- Department of Neonatal Medicine and Université Paris Cité, AP-HP, Necker-Enfants Malades University Hospital, Paris, France
| | - Amandine Barjol
- Pediatric Ophthalmology Department, Rothschild Foundation Hospital, Paris, France
| | - Georges Caputo
- Pediatric Ophthalmology Department, Rothschild Foundation Hospital, Paris, France
| | - Thibaut Chapron
- Pediatric Ophthalmology Department, Rothschild Foundation Hospital, Paris, France
- Epidemiology and Statistics Research Center/CRESS, INSERM, INRA, Université Paris Cité, Paris, France
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Abdel Aziz I, Alsoda MF, Elmenofy TM, Sakhsoukh MM, Abd el Azim NM, Ahmed AM, Abd El-Halim SA, Baris SSH, Fouad YA, Elghonemy AM, Metwally H, El Gendy WM, Ali R, Basha YM, Mohamed EAE, Amin WM, Naguib MA, Elnashar HA. Tailoring Screening Guidelines for Retinopathy of Prematurity in Egypt: An Exploratory Multicentric Study. Clin Ophthalmol 2022; 16:3625-3630. [PMID: 36348747 PMCID: PMC9637363 DOI: 10.2147/opth.s383497] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2022] [Accepted: 10/20/2022] [Indexed: 11/18/2022] Open
Abstract
Background Retinopathy of prematurity (ROP) is increasing in incidence in developing nations, including Egypt. Secondary prevention requires timely detection through the development of regional screening guidelines, which should be preceded by large-scale studies to characterize the population at risk. Methods A prospective, multicentric exploratory study that included five large tertiary institutions in an urban Egyptian setting. All infants born with gestational age (GA) < 37 weeks and/or birth weight (BW) ≤ 2000 grams were screened. More mature and heavier infants with unstable clinical course were also included. The primary outcome measure was the rate of ROP and high-risk disease occurrence in relation to underlying risk factors. Results Of the 768 eyes (384 screened infants), 347 eyes (45.2%) had stage 1 or higher disease, and 43 eyes (5.6%) had high-risk disease. Eyes with stage 1 or higher ROP and treatment-requiring ROP had a mean (± SD) GA of 33.4 (± 2.6) weeks and 32.8 (± 3.2) weeks, and BW of 1842.3 (± 570.1) grams and 1747.6 ± (676.2) grams, respectively. Treatment-requiring eyes belonged to infants that had significantly lower GA and significantly higher prevalence of co-morbidities than non-treatment-requiring eyes. Conclusion The incidence of ROP and high-risk disease in an urban Egyptian setting are similar to those in comparable settings elsewhere and locally. This exploratory study supports tailoring local screening criteria for ROP, and may aid the future development of national guidelines.
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Affiliation(s)
- Ihab Abdel Aziz
- Department of Ophthalmology, The Memorial Institute for Ophthalmic Research, Giza, Egypt
| | - Mohamed Fawzy Alsoda
- Department of Pediatrics and Neonatology, Ahmed Maher Teaching Hospital, Cairo, Egypt
| | - Tarek Mohamed Elmenofy
- Department of Ophthalmology, The Memorial Institute for Ophthalmic Research, Giza, Egypt
| | | | | | - Amr Mahmoud Ahmed
- Department of Ophthalmology, The Memorial Institute for Ophthalmic Research, Giza, Egypt
| | | | | | - Yousef Ahmed Fouad
- Department of Ophthalmology, Ain Shams University Hospitals, Cairo, Egypt
| | | | - Heba Metwally
- Department of Ophthalmology, The Memorial Institute for Ophthalmic Research, Giza, Egypt
| | - Wael Mohamed El Gendy
- Department of Ophthalmology, The Memorial Institute for Ophthalmic Research, Giza, Egypt
| | - Raghdaa Ali
- Department of Pediatrics and Neonatology, Ahmed Maher Teaching Hospital, Cairo, Egypt
| | - Yehia Mahmoud Basha
- Department of Pediatrics and Neonatology, Damanhour Teaching Hospital, Beheira, Egypt
| | | | - Wafaa Mohamed Amin
- Department of Pediatrics and Neonatology, El-Galaa Teaching Hospital, Cairo, Egypt
| | - Maged Adly Naguib
- Department of Ophthalmology, The Memorial Institute for Ophthalmic Research, Giza, Egypt
| | - Hazem Abdallah Elnashar
- Department of Ophthalmology, The Memorial Institute for Ophthalmic Research, Giza, Egypt,Correspondence: Hazem Abdallah Elnashar, Department of Ophthalmology, The Memorial Institute for Ophthalmic Research, Giza, 23314, Egypt, Tel +201227011043, Email
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