International Journal of Academic Health and Medical Research (IJAHMR)
  Year: 2021 | Volume: 5 | Issue: 11 | Page No.: 53-55
The Experience of Retinopathy of Prematurity Screening Programme at Chittagong Ma O Shishu Hospital
Dr. Mozammel Hoque Sharife, Prof. Wazir Ahmed, Prof. Mahmood Ahmed Chowdhury, Prof. Dr. Serajun Noor, Dr. Tahminaby Parvin

Abstract:
Aim: To share the experience of ROP screening programme at NICU, Child Development Centre & department of Ophthalmology& Gynecology, CMOSH, Agrabad, Chittagong. Methods: ?Number of premature babies, those are screened 160. ?Duration of screening 01/01/2020 - 27/03/2021. ?Place of screening: NICU, CDC & department of Ophthalmology& Gynecology, CMOSH. ?Time of examination were at 28th-30th day after birth. Procedure: Thorough general examination of all the babies was done by expert neonatologist and Gynecologist. Babies were prepared by expert optometrist for indirect ophthalmoscopy. Pupils were dilated by Trophen eye drop. Surface anesthetic eye drops (0.4% oxybuprocain eye drop) was given. Eye lids were aperted by pediatric wire speculum. Indirect ophthalmoscopy was done by trained ophthalmologist. Gentle indentation with wire Vectis or cotton bud. Well visualized the peripheral retina. Results: Total number of babies: 160. Approximate gestational age (AGA)= 28-38 weeks. Gestational body weight (GBT)= 1.00-2.80 kg. 30 cases were found abnormal retinal neovascularization & different stages of ROP &referred to retina specialist of tertiary Eye hospitals for needful. Discussion: There are different data of development of ROP in Bangladesh 1. ? Incidence of ROP is 4.4%. ?19 of 53 screened babies need LIO. ? 9 cases out of 49 (18-36%). Our experience shows 30 cases had different stages of ROP out of 160 premature babies (18.75%), i.e., ROP incidence is increasing in our country. Conclusion: The facilities & management system of NICU, pediatric neurology & child development centers & Gynecological supports are developed & increased, survival rate of premature babies increased. So, we have to develop a comprehensive screening programme so that every premature and low birth baby is screened for ROP at 28th-30th day after birth.