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• W4380608714 abstract "Dear Editor, We read the paper titled “Evaluation of clinical profile and screening guidelines of retinopathy of prematurity in an urban level III neonatal intensive care unit” by Sanghi et al., which highlighted important observations regarding the incidence of any retinopathy of prematurity (ROP) and severe ROP in an urban level III neonatal intensive care unit (NICU).[1] The incidence of ROP and severe ROP has been variable in India.[1-4] However, overall incidence of ROP and severe ROP has declined over the past few decades, which is largely attributed to the improved quality of neonatal care.[2] The authors of the aforementioned paper have reported that all babies with severe ROP weighed <1100 g.[1] In our experience and under similar perinatal conditions, incidence of severe ROP is high [Table 1]. Moreover, this cohort showed ROP in larger infants and a higher number of infants with aggressive posterior ROP (APROP) [Tables 1 and 2]. The key factor that could possibly explain this variation under similar demographic condition is the level and quality of neonatal care received by preterm infants. NICUs delivering high quality care in urban India are showing ROP statistics that are more like those of the West (Sanghi et al.[1]), and those from rural or semiurban India match the typical statistics of middle-income countries (our data).Table 1: Incidence of ROP as per birth weightTable 2: Sub-analysis of severe ROPHaving broad screening guidelines is essential in the detection of severe ROP in larger infants in India.[5] Sanghi et al. reported, screening criteria of gestational age <30 weeks and birth weight <1500 grams, had 100% sensitivity in detecting severe ROP.[1] We suggest, NICUs having meticulous data on the incidence of ROP (e.g., Sanghi et al.) may be allowed to have a tailored ROP screening guidelines.[1] These guidelines may be changed from time to time with the aim of reducing the incidence over time. Secondly, governing bodies like the National Neonatology Forum can consider making ROP screening protocol/program mandatory for all NICUs seeking approval for a level III status. At the time of renewal of such accreditation, incidence of ROP in NICUs can serve an indicator of the quality of neonatal care in these units. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest." @default.
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• W4380608714 date "2023-06-01" @default.
• W4380608714 modified "2023-09-25" @default.
• W4380608714 title "Comment on: Evaluation of clinical profile and screening guidelines of retinopathy of prematurity in an urban level III neonatal intensive care unit" @default.
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• W4380608714 doi "https://doi.org/10.4103/ijo.ijo_232_23" @default.
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