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Assessment of retinopathy of prematurity (ROP) revisited

Korean Journal of Pediatrics 2009;52(1):22-27.
Published online January 15, 2009.
Assessment of retinopathy of prematurity (ROP) revisited
Jeong Hun Kim, Young Suk Yu
Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea, Seoul Artificial Eye Center, Clinical Research Institute, Seoul National University Hospital, Seoul, Korea
최근 재증가하고 있는 미숙아망막병증의 임상 고찰
김정훈, 유영석
서울대학교 의과대학 안과학교실, 서울대학교병원 임상의학연구소 서울인공안구센터
Young Suk Yu, Email: ysyu@snu.ac.kr
Retinopathy of prematurity (ROP) is a major cause of blindness that affects premature infants. With advances in neonatology, ROP is likely to emerge as the most serious problem of vision loss in children even in developed countries; such a situation could be called the third epidemic of ROP. However, controversy and uncertainty still surround favorable outcomes of ROP. For successfully controlling ROP, timely and accurate screening is crucial because early treatment leads to favorable outcomes. Standard guidelines, including ROP classification, have provided satisfactory instructions for the screening and treatment of ROP. To improve the structural and functional outcomes of ROP, optimizing the timing of surgical interventions including cryotherapy, laser-photocoagulation, encircling, and vitrectomy is essential; these interventions can prevent the sequelae of ROP. It is essential for the neonatologist and the ophthalmologist to cooperate extensively for the successful treatment of ROP.
Key Words: Retinopathy of prematurity, Screening, Diagnosis, Treatment, Prognosis

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