美国儿科协会更新早产儿视网膜病变筛查指导原则
2013-01-05 00:35阅读：
美国儿科协会于2012年月12月31日更新早产儿视网膜病变（ROP）的指导原则，要求出生体重低于1500克，胎龄小于30周以及某些特殊高风险新生儿应该接受有专业眼科经验医生的检查。对于25周之内的早产儿，筛查时间应该提早到出生后6周内进行。儿科协会还更新了ROP外周消融治疗术的相关要求，一旦明确了手术治疗，72小时之内必须进行手术。
美国儿科协会上一次修改指导原则是在2006年。
AAP Updates Screening
Guide for Retinopathy of Prematurity
New guidelines outline effective program
attributes for detection and treatment of
ROP
WEDNESDAY, Jan. 2 (HealthDay News) -- For the effective
detection of retinopathy of prematurity (ROP), at-risk infants
should receive carefully timed retinal examinations (based on their
gestational age) by an ophthalmologist experienced in the
examination of preterm infants, according to an American Academy of
Pediatrics (AAP) policy statement published online Dec.
3
1 in
Pediatrics.
Walter M. Fierson, M.D., and colleagues from the AAP Section on
Ophthalmology, revised a 2006 statement on screening of preterm
infants for ROP. The statement discusses the characteristics of an
effective program for detecting and treating ROP, including the
timing of initial examination and subsequent reexamination
intervals.
The AAP recommends that infants with a birth weight of ≤1,500 g or
gestational age of 30 weeks or less and selected high-risk infants
should have retinal screening examinations using binocular indirect
ophthalmoscopy. For preterm infants, retinal examinations should be
performed by a sufficiently knowledgeable and experienced
ophthalmologist. Screening initiation should be based on the
infant's postmenstrual age, with the onset of serious ROP
correlating better with postmenstrual than postnatal age. However,
infants born before 25 weeks' gestation should be considered for
earlier screening (before 6 weeks' chronological age), based on the
presence of severe comorbidities. Follow-up should be recommended
by the ophthalmologist based on retinal findings, characterized
according to the international classification. The presence of plus
disease suggests that peripheral ablation is appropriate. Retinal
findings requiring strong consideration of ablative treatment have
been recently revised. Treatment should generally be carried out
within 72 hours of determination of treatable disease.
'The goal of an effective ROP screening program is to identify the
infants who could benefit from treatment and make appropriate
recommendations on the timing of future screening and treatment
interventions,' the authors write.
 WEDNESDAY,
Jan. 2 (HealthDay News) -- For the effective detection of
retinopathy of prematurity (ROP), at-risk infants should receive
carefully timed retinal examinations (based on their gestational
age) by an ophthalmologist experienced in the examination of
preterm infants, according to an American Academy of Pediatrics
(AAP) policy statement published online Dec. 31 in
Pediatrics.
Walter M. Fierson, M.D., and colleagues from the AAP Section on
Ophthalmology, revised a 2006 statement on screening of preterm
infants for ROP. The statement discusses the characteristics of an
effective program for detecting and treating ROP, including the
timing of initial examination and subsequent reexamination
intervals.
The AAP recommends that infants with a birth weight of ≤1,500 g or
gestational age of 30 weeks or less and selected high-risk infants
should have retinal screening examinations using binocular indirect
ophthalmoscopy. For preterm infants, retinal examinations should be
performed by a sufficiently knowledgeable and experienced
ophthalmologist. Screening initiation should be based on the
infant's postmenstrual age, with the onset of serious ROP
correlating better with postmenstrual than postnatal age. However,
infants born before 25 weeks' gestation should be considered for
earlier screening (before 6 weeks' chronological age), based on the
presence of severe comorbidities. Follow-up should be recommended
by the ophthalmologist based on retinal findings, characterized
according to the international classification. The presence of plus
disease suggests that peripheral ablation is appropriate. Retinal
findings requiring strong consideration of ablative treatment have
been recently revised. Treatment should generally be carried out
within 72 hours of determination of treatable disease.
'The goal of an effective ROP screening program is to identify the
infants who could benefit from treatment and make appropriate
recommendations on the timing of future screening and treatment
interventions,' the authors write.
|
WEDNESDAY, Jan. 2 (HealthDay News) -- For the effective detection
of retinopathy of prematurity (ROP), at-risk infants should receive
carefully timed retinal examinations (based on their gestational
age) by an ophthalmologist experienced in the examination of
preterm infants, according to an American Academy of Pediatrics
(AAP) policy statement published online Dec. 31 in
Pediatrics.
Walter M. Fierson, M.D., and colleagues from the AAP Section on
Ophthalmology, revised a 2006 statement on screening of preterm
infants for ROP. The statement discusses the characteristics of an
effective program for detecting and treating ROP, including the
timing of initial examination and subsequent reexamination
intervals.
The AAP recommends that infants with a birth weight of ≤1,500 g or
gestational age of 30 weeks or less and selected high-risk infants
should have retinal screening examinations using binocular indirect
ophthalmoscopy. For preterm infants, retinal examinations should be
performed by a sufficiently knowledgeable and experienced
ophthalmologist. Screening initiation should be based on the
infant's postmenstrual age, with the onset of serious ROP
correlating better with postmenstrual than postnatal age. However,
infants born before 25 weeks' gestation should be considered for
earlier screening (before 6 weeks' chronological age), based on the
presence of severe comorbidities. Follow-up should be recommended
by the ophthalmologist based on retinal findings, characterized
according to the international classification. The presence of plus
disease suggests that peripheral ablation is appropriate. Retinal
findings requiring strong consideration of ablative treatment have
been recently revised. Treatment should generally be carried out
within 72 hours of determination of treatable disease.
'The goal of an effective ROP screening program is to identify the
infants who could benefit from treatment and make appropriate
recommendations on the timing of future screening and treatment
interventions,' the authors write.
|
