Changing Treatment Patterns of ROP at a Tertiary Medical Center between 2002 and 2012

Abdul Hadi Kaakour, Eric D. Hansen, Hassan A. Aziz, Ryan C. Young, Audina Berrocal

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Background and Objective: To clinically correlate and evaluate the screening and treatment patterns of retinopathy of prematurity by a single physician at a tertiary care center between 2002 and 2012. Patients and Methods: A group of 10,924 newborns screened for ROP between 2002 and 2012 were retrospectively analyzed in a consecutive case series. Records of the neonatal intensive care unit (NICU) at Jackson Memorial Hospital/Bascom Palmer Eye Institute were reviewed to identify patients clinically diagnosed with retinopathy of prematurity who underwent treatment. Results: Laser photocoagulation was used to treat 231 of 10,924 (2.1%). Of these 231 patients, 176 (76.2%) were included in the study (55 infants were excluded because they were referred from outside institutions for advanced ROP). Of the 176 treated patients, 89 (50.6%) were male and 87 (49.4%) were female. The average birth weight was 687.3 g. The mean gestational age was 24.8 weeks. The mean time between birth and treatment was 3 months. Of the 176 patients, 31 required re-treatment with laser photocoagulation. The rates of treatment and re-treatment significantly declined with the experience of the treating physician (P <.01). Retinal detachment occurred in two of 176 patients (1.1%). Conclusion: Experience is essential in delivering optimal care in a complex disease such as ROP. Between 2002 and 2012, the rate of treatment and re-treatment significantly decreased. Possible reasons include improvements in neonatal care, but it is more likely that the rate of treatment and re-treatment is inversely proportional to the ophthalmologist's experience with and comfort in managing ROP.

Original languageEnglish (US)
Pages (from-to)752-754
Number of pages3
JournalOphthalmic Surgery Lasers and Imaging Retina
Volume46
Issue number7
DOIs
StatePublished - Jul 1 2015

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Therapeutics
Retinopathy of Prematurity
Light Coagulation
Lasers
ROP
Physicians
Neonatal Intensive Care Units
Retinal Detachment
Tertiary Care Centers
Birth Weight
Gestational Age
Parturition
Newborn Infant
Ophthalmologists

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

Cite this

Changing Treatment Patterns of ROP at a Tertiary Medical Center between 2002 and 2012. / Kaakour, Abdul Hadi; Hansen, Eric D.; Aziz, Hassan A.; Young, Ryan C.; Berrocal, Audina.

In: Ophthalmic Surgery Lasers and Imaging Retina, Vol. 46, No. 7, 01.07.2015, p. 752-754.

Research output: Contribution to journalArticle

Kaakour, Abdul Hadi ; Hansen, Eric D. ; Aziz, Hassan A. ; Young, Ryan C. ; Berrocal, Audina. / Changing Treatment Patterns of ROP at a Tertiary Medical Center between 2002 and 2012. In: Ophthalmic Surgery Lasers and Imaging Retina. 2015 ; Vol. 46, No. 7. pp. 752-754.
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