ABSTRACT
OBJECTIVE: To prepare a protocol for the treatment of retinopathy of prematurity (ROP) agreed by the majority of Spanish ophthalmologists dedicated to this topic. MATERIAL AND METHOD: A draft of the protocol was produced taking into account the experience of the participants and up to date publications. This draft was corrected by all the ophthalmologists participating in the project, and the final document was agreed by all of them. RESULTS: We present general guidelines as an aid for the treatment of ROP, including treatment criteria, treatment methods, a calendar of action, and follow-up. CONCLUSIONS: It is important to have a common working protocol for the treatment of ROP to improve care and to avoid mistakes. Although individual Hospitals may adapt the protocol to their daily activity, it is recommended that there is a minimal working protocol agreed by most of professionals dedicated to pediatric ophthalmology in Spain.
Subject(s)
Retinopathy of Prematurity/therapy , Clinical Protocols , Humans , Practice Guidelines as Topic , SpainABSTRACT
Objetivo: Realizar un protocolo de tratamiento de la retinopatía del prematuro (ROP) consensuado por la mayor parte de oftalmólogos españoles dedicados al tema. Material y método: Se realizó un borrador del protocolo según la experiencia de los participantes y las publicaciones actualizadas. Este borrador fue corregido por los participantes en el protocolo y se llegó al documento final consensuado por todos los participantes. Resultados: Se presentan las directrices generales para realizar el tratamiento de la ROP, incluyendo criterios de tratamiento, metodología de actuación, calendario de actuación y seguimiento. Conclusiones: Es importante disponer de un protocolo de actuación común en el tratamiento de la ROP para mejorar la actuación y evitar errores. Aunque cada centro hospitalario deba adaptar el protocolo a su actividad clínica, es recomendable que existan un mínimo de procedimientos consensuados por todos los oftalmólogos dedicados a la ROP (AU)
Objective: To prepare a protocol for the treatment of retinopathy of prematurity (ROP) agreed by the majority of Spanish ophthalmologists dedicated to this topic. Material and method: A draft of the protocol was produced taking into account the experience of the participants and up to date publications. This draft was corrected by all the ophthalmologists participating in the project, and the final document was agreed by all of them. Results: We present general guidelines as an aid for the treatment of ROP, including treatment criteria, treatment methods, a calendar of action, and follow-up. Conclusions: It is important to have a common working protocol for the treatment of ROP to improve care and to avoid mistakes. Although individual Hospitals may adapt the protocol to their daily activity, it is recommended that there is a minimal working protocol agreed by most of professionals dedicated to pediatric ophthalmology in Spain (AU)
Subject(s)
Humans , Male , Female , Infant, Newborn , Retinopathy of Prematurity/therapy , Retinal Neovascularization/therapy , Retinal Detachment/prevention & control , Clinical Protocols , Practice Patterns, Physicians'ABSTRACT
Objetivo: Realizar un protocolo de cribado de la retinopatía del prematuro (ROP), consensuado por la mayor parte de oftalmólogos españoles dedicados al tema. Material y método: Se realizó un borrador del protocolo según la experiencia de los participantes y las publicaciones actualizadas. Este borrador fue corregido por los participantes en el protocolo y se llegó al documento final consensuado por todos los participantes. Resultados: Se presentan las directrices generales para realizar el cribado de la ROP, incluyendo criterios de inclusión y exclusión, metodología de exploración y calendario de actuación. Conclusiones: Es importante disponer de un protocolo de actuación común en el cribado de la ROP para mejorar la actuación y evitar errores. Aunque cada centro hospitalario deba adaptar el protocolo a su actividad clínica es recomendable que existan un mínimo de procedimientos consensuados por todos los oftalmólogos dedicados a la ROP (AU)
Objective: To prepare a retinopathy of prematurity (ROP) screening program as agreed by most of Spanish ophthalmologists dedicated to this topic. Material and method: A draft of the protocol was produced taking into account the experience of the participants and current publications. This draft was corrected by all the ophthalmologists participating in the project and the final document produced was agreed by all of them. Results: We present general guidelines to help in the screening of ROP, including treatment criteria, treatment methods, and a calendar of action. Conclusions: It is important to have a common working protocol in the screening of ROP to improve the action and to avoid mistakes. Although individual Hospitals may adapt the protocol to their daily activity, it is recommended that there is a minimal working protocol agreed by most of professionals dedicated to pediatric ophthalmology in Spain (AU)
Subject(s)
Humans , Male , Female , Infant, Newborn , Neonatal Screening/methods , Retinopathy of Prematurity/epidemiology , Guideline Adherence , Practice Patterns, Physicians'ABSTRACT
OBJECTIVE: To prepare a retinopathy of prematurity (ROP) screening program as agreed by most of Spanish ophthalmologists dedicated to this topic. MATERIALS AND METHODS: A draft of the protocol was produced taking into account the experience of the participants and current publications. This draft was corrected by all the ophthalmologists participating in the project and the final document produced was agreed by all of them. RESULTS: We present general guidelines to help in the screening of ROP, including treatment criteria, treatment methods, and a calendar of action. CONCLUSIONS: It is important to have a common working protocol in the screening of ROP to improve the action and to avoid mistakes. Although individual Hospitals may adapt the protocol to their daily activity, it is recommended that there is a minimal working protocol agreed by most of professionals dedicated to pediatric ophthalmology in Spain.
Subject(s)
Neonatal Screening/standards , Retinopathy of Prematurity/diagnosis , Clinical Protocols , Humans , Infant, Newborn , Practice Guidelines as Topic , SpainABSTRACT
OBJECTIVE: To describe diode laser photocoagulation results in retinopathy of prematurity (ROP) in our hospital. MATERIAL AND METHOD: Retrospective cross-sectional study based on clinical histories of the premature infants treated during the period from 2004 to 2008. RESULTS: In the treated group we found a predominance of pre-threshold retinopathy versus threshold retinopathy (84.35% vs 15.65%). The anatomic results were good in 96.5% of 147 eyes. None of the treated eyes in pre-threshold stage showed a poor result. Nine months after treatment, 84.85% of 132 eyes showed good functional results. A poor visual response was associated in most of the cases with neurological diseases. Infants with intraventricular haemorrhages had the worst anatomical and functional results. Strabismus (23.5%) and nystagmus (10.3%) rates were high, probably due to the increased prevalence of neurological diseases. The mortality rate in treated children was 7.3%. CONCLUSIONS: Diode laser photocoagulation in ROP offers very good anatomical results when performed at the appropriate time. Nevertheless, prematurity is still a very important cause of visual dysfunction in infancy due to the associated neurological disturbances.
Subject(s)
Lasers, Semiconductor/therapeutic use , Light Coagulation , Retinopathy of Prematurity/surgery , Comorbidity , Cross-Sectional Studies , Female , Humans , Hyperbaric Oxygenation/adverse effects , Infant, Newborn , Infant, Premature , Infant, Premature, Diseases/epidemiology , Male , Postoperative Complications/epidemiology , Refractive Errors/epidemiology , Retinopathy of Prematurity/etiology , Retrospective Studies , Strabismus/epidemiology , Treatment OutcomeABSTRACT
Objetivo: Describir los resultados de la fotocoagulación con láser de diodo en la retinopatía del prematuro (RP) en nuestro hospital. Material y método: Estudio transversal, retrospectivo, basado en las historias clínicas de los niños prematuros tratados en el periodo de 2004 a 2008. Resultados: La población tratada tiene un predominio de la retinopatía preumbral frente a retinopatía umbral (84,35 vs. 15,65%). Los resultados anatómicos fueron buenos en el 96,5% de 147 ojos. Ningún ojo tratado en fase preumbral tuvo mal resultado anatómico. A los 9 meses del tratamiento, los resultados funcionales fueron buenos en un 84,85% de 132 ojos. La mala respuesta visual se asoció en la mayoría de los casos a enfermedad neurológica. Los niños con hemorragia intraventricular tienen peores resultados anatómicos y funcionales. Las tasas de estrabismo (23,5%) y de nistagmo (10,3%) son altas y creemos que se deben a la elevada prevalencia de enfermedades neurológicas. La mortalidad en los bebés tratados fue del 7,3%. Conclusiones: La fotocoagulación con láser de diodo en la retinopatía del prematuro, practicándola en el momento oportuno, da muy buenos resultados anatómicos. A pesar de todo, la prematuridad sigue siendo una causa importante de disfunción visual en la infancia debido a las lesiones neurológicas con que se asocia(AU)
Objective: To describe diode laser photocoagulation results in retinopathy of prematurity (ROP) in our hospital. Material and method: Retrospective cross-sectional study based on clinical histories of the premature infants treated during the period from 2004 to 2008. Results: In the treated group we found a predominance of pre-threshold retinopathy versus threshold retinopathy (84.35% vs 15.65%). The anatomic results were good in 96.5% of 147 eyes. None of the treated eyes in pre-threshold stage showed a poor result. Nine months after treatment, 84.85% of 132 eyes showed good functional results. A poor visual response was associated in most of the cases with neurological diseases. Infants with intraventricular haemorrhages had the worst anatomical and functional results. Strabismus (23.5%) and nystagmus (10.3%) rates were high, probably due to the increased prevalence of neurological diseases. The mortality rate in treated children was 7.3%. Conclusions: Diode laser photocoagulation in ROP offers very good anatomical results when performed at the appropriate time. Nevertheless, prematurity is still a very important cause of visual dysfunction in infancy due to the associated neurological disturbances(AU)
Subject(s)
Humans , Male , Female , Light Coagulation/methods , Light Coagulation , Lasers, Semiconductor , Retinopathy of Prematurity/diagnosis , Retinopathy of Prematurity/therapy , Retinopathy of Prematurity , Gestational Age , Light Coagulation/instrumentation , Light Coagulation/trends , Retinopathy of Prematurity/physiopathology , Retrospective Studies , Cross-Sectional Studies/methods , Cross-Sectional Studies , Birth Weight/physiology , Birth Weight/radiation effectsABSTRACT
We describe three cases of sudden severe retinopathy in patients with acute pancreatitis. The relative times of the organ manifestations and comparisons with other published cases strongly suggest that pancreatitis was the cause of the retinal changes. This systemic complication is unknown to most physicians, but approximately 35 cases have been published. The pathogenesis is not well known. We briefly discuss the significance of this complication and several possible pathogenetic mechanisms.
