Indian Journal of Clinical and Experimental Ophthalmology

Print ISSN: 2395-1443

Online ISSN: 2395-1451

CODEN : IJCEKF

Indian Journal of Clinical and Experimental Ophthalmology (IJCEO) is open access, a peer-reviewed medical journal, published quarterly, online, and in print, by the Innovative Education and Scientific Research Foundation (IESRF) since 2015. To fulfil our aim of rapid dissemination of knowledge, we publish articles ‘Ahead of Print’ on acceptance. In addition, the journal allows free access (Open Access) to its content, which is likely to attract more readers and citations of articles published in IJCEO. Manuscripts must be prepared in more...

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Is Neonatal Anemia a Risk Factor in developing Retinopathy of Prematurity in Premature Babies- A Prospective Observational Study in Rural Central India.

  • Bodhraj Dukhbhajan Lal Dhawan,*  
  • AJAB C DHABARDE,  
  • VAISHALI B DHAWAN,  
  • Nilesh Darvhekar

Abstract

Background – Retinopathy of prematurity (ROP) in premature babies is mainly associated with Prematurity and Low Birth weight. Anemia in these babies is also known to be associated with higher risk of ROP. Aim- Present study aims to study the incidence of ROP in a rural Sick – baby Neonatal Care Unit (SNCU) and to compare the same in the Anemic and non- anemic babies. Methods- In this Prospective Observational Study, a total 100 consecutive preterm babies (with gestational age less than 34 week or Birth weight less than 2000 grams were studied for the ROP. The presence of ROP was also studied in anemic and non -anemic babies. Results- 100 babies with Gestational age gestational age at birth ranging from 28 weeks to 34 weeks and birth weight ranging from940 gram to 2000 gram were Prospectively studied at SNCU. ROP was seen in 24 babies and remaining 76 babies had zone 3A vascularized retina .Stage 2 was the most commonly seen stage of ROP (12 babies). stage 1 ROP was seen in 5 cases, stage 3 in 4 cases, stage 4 in 1 baby and Aggressive Posterior ROP (APROP) in 2 babies. stage 5 was not seen in any baby in this study .Among the 24 babies with ROP, 6 babies (25%) needed treatment and other 18 babies (75%) had spontaneous regression. Out of 100 babies screened / included in study, 16 babies were anemic. Out of these 16 babies 8 babies ( 50%) had ROP. Amongst the remaining 84 babies who did not have anemia 16 babies ( 19%) had ROP . Of the 100 babies included in the study, 11 babies had received blood transfusion, among which 6 babies (54.54%) had ROP. Among the remaining 89 babies who didn’t have blood transfusion, 18 babies (20.22%) had ROP. Conclusion- Anemia should be avoided and managed in premature babies from ROP management


Keywords

Anemia, Retinopathy of Prematurity