Retinopathy of prematurity: the course and results of treatment in children with gestational age less than 27 weeks

El'vira Irekovna Saydasheva; Yu. V Gorelik; S. V Buyanovskaya; F. V Kovshov

doi:10.17816/rpoj37645

Russian Pediatric Ophthalmology ›› 2015, Vol. 10 ›› Issue (2) :28 -32. DOI: 10.17816/rpoj37645

Articles

research-article

Retinopathy of prematurity: the course and results of treatment in children with gestational age less than 27 weeks

Author information +

History +

PDF

Abstract

In the article we present the results of ophthalmologic observation of 90 preterm infants with gestational age less than 27 weeks who were nursing in the neonatal center "Children's city hospital №1" in St. Petersburg. Average birthbody weight was 793,8±210 g, the average gestational age was 24,9±2,1 weeks. We determined the course of retinopathy of prematurity among the surveyed children: high frequency of occurrence (99%) and disease progression to severe forms (42,2%), including the development of aggressive posterior retinopathy of prematurity in 34,2% of cases; low frequency (56%) spontaneous regression of the initial stages compared with newborns with gestational age of 27-32 weeks (90%). Indications for laser photocoagulation of the retina had 42,2% of patients, the frequency of repeated interventions was 42.1%. Retinopathy of prematurity adverse outcome, characterized by the development of IV-V stages detected in 3,3% of cases. The efficiency of laser photocoagulation is 92,1%.

Keywords

newborn / gestational age of 27 weeks / retinopathy of prematurity / laser treatment

Cite this article

Download citation ▾

El'vira Irekovna Saydasheva, Yu. V Gorelik, S. V Buyanovskaya, F. V Kovshov. Retinopathy of prematurity: the course and results of treatment in children with gestational age less than 27 weeks. Russian Pediatric Ophthalmology, 2015, 10(2): 28-32 DOI:10.17816/rpoj37645

登录浏览全文

4963

注册一个新账户忘记密码

References

Publishing order | Descend order by publishing year | Descend order by cited within

[1]	Приказ Минздравсоцразвития РФ от 27.12.2011 г. № 1687н «О медицинских критериях рождения, форме документа о рождении и порядке ее выдачи». М.; 2011.

[2]	Сайдашева Э.И. Ретинопатия недоношенных: итоги пятилетнего опыта работы в условиях городского неонатального центра. Российская педиатрическая офтальмология. 2009; 4: 4-7.

[3]	Сайдашева Э.И., Фомина Н.В., Баранов А.В., Корлякова М.Н. Принципы организации офтальмонеонатальной помощи в Санкт-Петербурге. Российская педиатрическая офтальмология. 2012; 2: 39-43.

[4]	Катаргина Л.А. Ретинопатия недоношенных, современное состояние проблемы и задачи организации офтальмологической помощи недоношенным детям в РФ. Российская педиатрическая офтальмология. 2012; 1: 5-7.

[5]	Aikawa H., Noro M. Low incidence of sight-threatening retinopathy of prematurity in infants born before 28 weeks gestation at a neonatal intensive care unit in Japan. Tohoku J. Exp. Med. 2013; 230 (3): 185-90.

[6]	Austeng D., Kallen K.B., Ewald U.W., Jakobsson P.G., Holmstrom G.E. Incidence of retinopathy of prematurity in infants born before 27 weeks’ gestation in Sweden. Arch. Ophthal. 2009; 127 (10): 1315-9.

[7]	Приказ Минздрава РФ от 25.10.2012 г. № 442н «Обутверждении Порядка оказания медицинской помощи детям при заболеваниях глаза, его придаточного аппарата и орбиты». М.; 2012.

[8]	International Committee for the Classification of Retinopathy of Prematurity. The international classification of retinopathy of prematurity revisited. Arch. Ophthal. 2005; 123: 991-9.

[9]	Early treatment for retinopathy of prematurity cooperative group. Revised indications for the treatment of retinopathy of prematurity: results of the early treatment for retinopathy of prematurity randomized trial. Arch. Ophthal. 2003; 121 (12): 1684-94.

[10]	Hittner H.M., Hirsch N.J., Rudolph A.J. Assessment of gestational age by examination of the anterior vascular capsule of the lens. J. Pediat. 1977; 91: 455.