Author/Editor		Gračner, B; Pahor, D; Budimilič, N; Jovovič, B; Gračner, T
Title		Merila za pregled otrok pri odkrivanju retinopatije nedonošenčkov
Translated title		Screening criteria for the detection of retinopathy of prematury
Type		članek
Source		Slov Pediatr
Vol. and No.		Letnik 7, št. Suppl 1
Publication year		2000
Volume		str. 208-10
Language		slo
Abstract		Background. The principal aim of eye examination in premature infants is to detect and follow-up the clinical features of acute-phase retinopathy of prematurity (ROP) because of timely coagulation of the avascular retina. Therefore the screening criteria for all infants at risk are important. Patients and methods. In the years 1997 and 1998 we examined 137 premature infants and estimated the appearance of maximum stages of ROP with regard to birthweight. Results. In a group of premature infants with a birthweight between 750 and 1250 g, 3 premature infants developed stage 3 ROP,1 developed stage 2 ROP and 1 developed stage 1 ROP. In a group of premature infants with a birthweight between 1250 and 1500 g 2, premature infants developed stage 1 ROP. In a group of premature infants with a birthweight over 1500g none developed ROP. Conclusion. Too many premature infants with a birthweight over 1750g were examined. The basic screening criterion for eye examination is the birthweight. All premature infants with a birthweight under 1500g must be examined. There is no need for eye examination in premature infants with a birthweight over 2000g. The initial examination is recommended at 4 to 5 weeks postnatal age or 32 to 34 weeks postmenstrual age, whichever comes first.
Summary		Izhodišča. Cilj kontrolnih očesnih pregledov pri nedonošenčkih je odkriti in spremljati znake akutne faze retinopatije nedonošenčkov (RPM) zaradi pravočasne koagulacije avaskularne mrežnice. Pri tem so pomembna merila za izbor otrok s tveganjem. Bolniki in metode. V letih 1997 in 1998 smo pregledovali 137 nedonošenčkov in ocenili pojav maksimalnih stadijev RPM glede na porodno težo. Rezultati. V skupini nedonošenčkov s porodno težo med 750 in 1250g je prišlo pri 3 nedonošenčkih do 3. stadija RPM, pri enem do 2. stadija, pri enem pa do 1. stadija. 1. stadij RPM smo našli tudi pri 2 nedonošenčkih s porodno težo med 1250 in 1500 g. Pri nedonošenčkih nad 1500 g znakov RPM ni bilo. Zaključek. Pregledanih je bilo preveč nedonošenčkov s porodno težo nad 1750 g. Osnovno merilo za pregled je porodna teža. Nujni so pregledi nedonošenčkov s porodno težo pod 1500 g. Nad 2000 g praviloma ni pričakovati znakov RPM, zato pregledi teh nedonošenčkov niso potrebni. Za prvi pregled se priporoča dvojno merilo: 4. do 5. teden življenja ali pa 32. do 34. teden po menstruaciji, kar pride prej.
Descriptors		RETINAL DISEASES VISION TESTS INFANT, PREMATURE, DISEASES INFANT INFANT, LOW BIRTH WEIGHT