Prematüre Bebeklerde Retinopati (ROP) İnsidansı ve Risk Faktörlerinin Belirlenmesi

SuleymanDemirel Universitesi TIP FAKULTESI DERGISI: 2000 Eylul; 7(3) Premature Bebeklerde Retinopati (ROP) Insidansi ve Risk Faktorlerinin Belirlenmesi Tamay Ozkozaci, Şule Zilan, Nilgun Gokyayla, Serpil Yilmaz, Feray Guven, Aysu Say Ozet Bu calismadaki amacimiz gestasyon haftasi 27 - 35 arasinda olan preterin bebeklerde retino-pati ( ROP) insidansini ve esik hastalik ( Evre 3 ) nedeniyle lazer veya crioterapi ile cerrahi te¬davi uygulanma sikligini ve risk faktorlerini belirlemektir ( l Haziran 1997 - 31 Aralik 2000 ). Gestasyon haftasi 35 ve altinda olan J Zeynep Kamil Kadin Dogum ve Cocuk Hastaliklari Egitim ve Arastirina Hastanesi Yenidogan Yogun Bakim Unitesinde ( Y.D.Y.B.U.) izlenen bebeklerin 283 ' une postnatal 4 - 6 hafta olduklarinda goz muayeneleri¬ne baslandi . ROP insidansini % 48 ve evre 3 veya daha fazla olan ROP Insidansi % 9.1 olarak bulduk . Do¬gum agirligi ve gestasyon haftasi ile ROP arasinda ileri derecede anlamli fark bulundu. ( p < 0.0001 ) . Evre 3 ROP saptanan 26 bebekten 20' sine lazer veya crioterapi uygulandi. Şehirde 3. duzey Y.D.Y.B.U. olarak hizmet veren ikinci buyuk devlet hastanesi olmasi ; antenatal takiplerinin yetersiz yapildigi , sosyo-ekonomik duzeyi dusuk gebelerin hastanemize basvurma¬lari nedeniyle ROP insidansimizda azalma olmamistir . Anahtar kelimeler : retinopati, prematurite , insidans Abstract Determination Of Rop Inddence And Risk Factor F or The Premature Babies The goal of tliis study is to deterniine the risk factors and the incidence of carrying out a surgical treatment with taser and crioteraphy due to the premature having ROP incidence and thereshold di-sease ( stage 3 ) between the gestation week of 27 and 35. ( l J une 1997-31 December 2000) Eye examination began when 283 babies who were in postnatal week 4 and 6, and were in gestation week of 35 and under at Zeynep Kamil Gynecology and Childreii Diseases Edu-cation and Research Hospital, Newborn Intensive Care Unit ( NlCU). We liave found ROP incidence as %48 and the same incidence witli the stage 3 and more has been found as % 9.1 .There was a significant dijference between the ROP and, the weight of birth and the gestation week ( p < 0.0001 ). Laser and crioteraphy have been carried out f or 20 out of 26 babies who have been diagnosed for stage 3 ROP. The following items explains the reasonfor not decreasing the incidence of ROP: being a second biggest hospital providing service as a third level NlCU, not enough antenatal follow-iip, pragnant women applying to the hospital with having low social and econornical conditions. Key Words: Retinopaty, prematurity, incidence