[Selection criteria and follow-up of children presenting with retinopathy of prematurity].
The recommendations of the American Academy of Pediatrics for eye examinations of premature infants are based on the following criteria: an age of gestation less than 35 weeks for infants having received oxygen or a birthweight under 1300 g with or without supplemental oxygen. The first examination should take place between the 5th and the 7th week of extra-uterine life, or prior to discharge of the hospital and repeated according to the first observations. It is specified that the examination must be done by a person experienced in neonatal ophthalmology and indirect ophthalmoscopy. In Zurich, following these recommendations, the criteria of the CRYO-ROP study, and our experience, we examine the infants with following features: (1) all premature infants with birthweight less than 1500 g independently of oxygen exposure, (2) neonates who have less than 35 gestational weeks and who were exposed in a FIO2 > 0.4 during more than 24 h. And (3) the first eye examination is done between the 5th and the 6th weeks of extra-uterine life. The follow-up of these children will depend on the primary state. The infants with ROP will be followed by the neonatal ophthalmologist as long as retinal complications can persist. Afterwards these infants will be controlled by the general ophthalmologist for the amblyopie prophylaxis (by anisomyopia or strabismus). Two controls during the first year, then one per year are advised in these cases. For children who had a cryocoagulation or an retinal detachment operation, the follow-up will be assured by the general ophthalmologist for the prevention of the amblyopia and by the neonatal ophthalmologist for the retina.
Martin
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Cliniques universitaires d'ophtalmologie, Zurich.
Duc
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D000550:Amblyopia / Q000517:prevention & control; D001724:Birth Weight; D002675:Child, Preschool; D003452:Cryosurgery; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D009887:Ophthalmoscopy; D010348:Patient Care Team; D012178:Retinopathy of Prematurity / Q000175:diagnosis* / Q000503:physiopathology / Q000601:surgery; D013557:Switzerland