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    Incidence and Risk Factors for Retinopathy in Premature Infants with Very Low Birth Weight, in the South-East Region, Turkey
    (Galenos Yayincilik, 2014) Katar, Selahattin; Taskesen, Mustafa; Ekmekciler, Belgin; Saka, Guray
    Introduction: Retinopathy of prematurity (ROP) is the most common cause of childhood blindness. The risk of ROP is increased in premature infants with very low birth weights, as the most common risk factors for ROP are low birth weight and early periods of gestation. The aim of this study was to evaluate the risk factors and the incidence of ROP among premature infants weighing under 1500 g upon delivery. Materials and Methods: Between August 2010 and December 2012, 84 patients followed up in the neonatal intensive care unit who were under 32 weeks old at birth and under 1500 g at birth were included in this study. Patients were separated into two groups: those with retinopathy and those without. Then the risk factors were compared between groups. Results: Mean gestational age and birth weight of the patients in group 1 and group 2 were 27.86 +/- 2.0 weeks, 1,146.66 +/- 278.58 g and 29.08 +/- 1.96 weeks, 1,289.36 +/- 74.77 g, respectively. Retinopathy was detected in 44% of the patients and of them 7.1% were treated for severe retinopathy. We determined that early periods of gestation (p=0.007), low birth weight (p=0.007), being transported (p=0.01), intraventricular hemorrhage (p=0.04), prolonged ventilation (p=0.006), prolonged oxygen administration (p=0.01), and blood transfusion (p=0.01) were statistically significant risk factors in patients with retinopathy. Conclusions: ROP has been recognized as one of the most important causes of childhood blindness in the world. However blindness is preventable if patients are diagnosed early and treated properly. Thus, it is important to determine the risk factors for ROP.