Screening examination of premature infants for retinopathy of prematurity

Screening examination of premature infants for retinopathy of prematurity
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DOI:
10.1542/peds.2005-2749
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发表时间:
2006-02-01
期刊:
影响因子:
8
通讯作者:
Saunders, R
Saunders, R
中科院分区:
医学2区
文献类型:
--
作者:
Lichtenstein, SJ;Buckley, EG;Saunders, R

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本声明修订了2001年发表的关于早产儿视网膜病变(ROP)筛查的声明。ROP是一种病理过程,仅发生在未成熟的视网膜组织中,可进展为牵引性视网膜脱离,可导致功能性或完全失明。使用激光光凝的周边视网膜消融术的最新进展使这种不良视力结局的发生率显著降低,但ROP的序贯性质要求在适当的时间对高危早产儿进行检查,以在他们成为永久性破坏性之前检测ROP的变化。本声明介绍了检测和治疗ROP的有效程序所依据的属性,包括初始检查的时间和随后的复查间隔。
This statement revises a previous statement on screening of preterm infants for retinopathy of prematurity (ROP) that was published in 2001. ROP is a pathologic process that occurs only in immature retinal tissue and can progress to a tractional retinal detachment, which can result in functional or complete blindness. Recent development of peripheral retinal ablative therapy using laser photocoagulation has resulted in the possibility of markedly decreasing the incidence of this poor visual outcome, but the sequential nature of ROP creates a requirement that at-risk preterm infants be examined at proper times to detect the changes of ROP before they become permanently destructive. This statement presents the attributes on which an effective program for detecting and treating ROP could be based, including the timing of initial examination and subsequent reexamination intervals.