Keywords
Ophthalmologist
Pediatricians
Practice
Retinopathy of prematurity
How to Cite
Abstract
Background: Retinopathy of prematurity, a vision threatening disease of the preterm occurs due to abnormal retinal vasculature development. Early detection and timely management, prevents blindness. Paediatricians, the primary care providers, require good knowledge of risk factors, time for screening, and referral to an ophthalmologist for their management.
Objectives: To study knowledge and referral practices for retinopathy of prematurity followed by registered paediatricians in Nepal.
Methods: This study was a questionnaire-based descriptive cross-sectional study among 81 paediatricians of Nepal from October 2021 to December 2021. A self-administered questionnaire was sent to all registered paediatricians in Nepal via Google Forms. The paediatricians who did not respond were excluded from the study. Descriptive statistics, frequency tables, and percentages were calculated using SPSS. Ethical clearance was obtained from Institutional Review Committee of Kathmandu Medical College.
Results: Eighty-one paediatricians participated in the study. All of them were aware of retinopathy of prematurity. Eighty (98.8%) were aware that low gestational age was an important risk factor. Only 23 (28.4%) of the paediatricians stated that the first screening should be done within 30 days of life. Eighty (98.8%) paediatricians responded that retinopathy of prematurity is treatable. Lack of well-equipped transportation system for sick babies to eye centres was the major barrier reported.
Conclusion: Awareness regarding risk factors, screening, and referral protocols for retinopathy of prematurity among paediatricians is needed. Multidisciplinary team, formulation and implementation of guidelines to prevent blindness secondary to retinopathy of prematurity is important.
References
Hartnett ME, Penn JS. Mechanisms and management of retinopathy of prematurity. N Engl J Med. 2012 Dec 27;367(26):2515-26. [PubMed | Full Text | DOI]
Hellström A, Smith LEH, Dammann O. Retinopathy of prematurity. Lancet. 2013;382(9902):1445-57. [PubMed | Full Text | DOI]
Waheeb S, Alshehri K. Incidence of retinopathy of prematurity at two tertiary centers in Jeddah, Saudi Arabia. Saudi J Ophthalmol. 2016;30:109-12. [PubMed | Full Text | DOI]
Freitas AM, Mörschbächer R, Thorell MR, Rhoden EL. Incidence and risk factors for retinopathy of prematurity: A retrospective cohort study. Int J Retin Vitr. 2018;4(1):1-8. [PubMed | Full Text | DOI]
Akkawi MT, Qaddumi JAS, Issa HRM, Yaseen LJK. Awareness of retinopathy of prematurity among pediatricians in west bank, palestine: A descriptive study. BMC Ophthalmol. 2018;18(1):1-5. [PubMed | FullText | DOI]
Fierson WM. Screening examination of premature infants for retinopathy of prematurity. Pediatrics. 2013;131(1):189-95. [PubMed | Full Text | DOI]
Adhikari S, Badhu BP, Bhatta NK, Rajbhandari RS, Kalakheti BK. Retinopathy of prematurity in a tertiary care hospital in eastern Nepal. J Nepal Med Assoc. 2008;47(169):24-7. [PubMed | Full Text | DOI]
Shrestha JB, Bajimaya S, Sharma A, Shrestha J, Karmacharya P. Incidence of retinopathy of prematurity in a neonatal intensive care unit in nepal. J Pediatr Ophthalmol Strabismus. 2009;477(5). [PubMed | Full Text | DOI]
Geetha VK, Pisharam JT, Shah PK. Awareness of retinopathy of prematurity screening among healthcare professionals in palakkad district of kerala. Kerala J Ophthalmol. 2021;33:185-8. [Full Text]
Sathiamohanraj SR, Shah PK, Senthilkumar D, Narendran V, Kalpana N. Awareness of retinopathy of prematurity among pediatricians in a tier two city of south india. Oman J Ophthalmol. 2011 May;4(2):77-80. [PubMed | Full Text | DOI]
Hadlaq AA, AL-Muqbil A, Al-Ali A, Al-Rashidi I, Iqbal Z. Knowledge, attitude, and practice study about retinopathy of prematurity among pediatricians in al-qassim region, saudi arabia. International Journal of Medicine in Developing Countries. 2021;5(6): 1290-1295. [Full Text | DOI]
Moin M, Inayat N, Mian U, Khalid A, Ali A. Awareness of retinopathy of prematurity amongst pediatricians in pakistan. Pakistan J Ophthalmol. 2016;32(1):19- 24. [Full Text | DOI]
Albalawi HB, Hashem F, Alharbi ANJ, Alali NM, Alshehri WMS, Alharfy AAN, et al. Retinopathy of prematurity as multidisciplinary approach, a pediatricians standpoint, and practice. J Multidiscip Healthc. 2022 Jan;15:153-9. [PubMed | Full Text | DOI]
Akkoyun I, Oto S, Yilmaz G, Gurakan B, Tarcan A, Anuk D, et al. Risk Factors in the development of mild and severe retinopathy of prematurity. J AAPOS. 2006;10(5):449-53. [PubMed | Full Text | DOI]
Shukla R, Murthy GVS, Gilbert C, Vidyadhar B, Mukpalkar S. Operational guidelines for rop in india: A summary. Indian J Ophthalmol. 2020;68 Suppl:S108-14. [PubMed | Full Text | DOI]
Gilbert C, Fielder A, Gordillo L, Quinn G, Semiglia R, Visintin P, et al. Characteristics of infants with severe retinopathy of prematurity in countries with low, moderate, and high levels of development: Implications for screening programs. Pediatrics. 2005;115(5):e518-25. [PubMed | Full Text | DOI]
Raiturcar T, Cacodcar J, Dubhashi A, Aguiar M. Knowledge, attitude, and practice study on awareness of retinopathy of prematurity among pediatricians in goa. J Clin Neonatol. 2019;8(2):106. [Full Text | DOI]
Salen AAA, Fahad AA, Saad AH, Dhibi H Al, Abdulrahman AN, Mousa A, et al. Practical guidelines for screening and treatment of retinopathy of prematurity in saudi arabia. Saudi J Ophthalmol. 2018;32:222-6. [PubMed | Full Text | DOI]
Bashinsky AL. Retinopathy of prematurity. N C Med J. 2017;78(2):124-8. [PubMed | Full Text | DOI]
Screening examination of premature infants for retinopathy of prematurity. Pediatrics. 2013;131:189- 95. [PubMed | Full Text | DOI]