Clinical effects of the 2021 update of the Turkish retinopathy of prematurity guideline
Abstract Purpose This study aims to assess the impact of the 2021 update of the Turkish Retinopathy of Prematurity (ROP) Guidelines within a tertiary care university clinic. Methods A retrospective evaluation was conducted on the medical records of premature infants (n = 366) who underwent ROP scree...
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BMC
2025-07-01
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| Series: | BMC Ophthalmology |
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| Online Access: | https://doi.org/10.1186/s12886-025-04182-w |
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| author | Emrah Ozturk Nuray Tug Ilknur Tuncer Fırat |
| author_facet | Emrah Ozturk Nuray Tug Ilknur Tuncer Fırat |
| author_sort | Emrah Ozturk |
| collection | DOAJ |
| description | Abstract Purpose This study aims to assess the impact of the 2021 update of the Turkish Retinopathy of Prematurity (ROP) Guidelines within a tertiary care university clinic. Methods A retrospective evaluation was conducted on the medical records of premature infants (n = 366) who underwent ROP screening between September 2021 and June 2024 and attended regular follow-up visits. Among these infants, 217 (59.28%) met the previously established ROP screening criteria. A comprehensive analysis was performed on a dataset of 149 (40.71%) additional screenable premature infants (gestational age > 32 weeks and birth weight > 1500 g) according to the revised criteria. Results A total of 149 patients were included in the study. Among these patients, 65 (43.6%) were female and 84 (56.4%) were male. The mean gestational age was 33.85 ± 1.17 weeks, and the mean birth weight was 2051.07 ± 399.63 g. During the follow-up period, 17 patients (11.4%) developed ROP, with four patients (2.7%) exhibiting treatment-requiring ROP. The mean gestational age at delivery for patients who developed ROP was 33.70 ± 1.24 weeks, and their mean birth weight was 2155.65 ± 368.75 g. No significant differences were observed between these patients and those who did not develop ROP (p = 0.627, p = 0.521, respectively). Conclusions The recent update to the Turkish ROP guideline has the potential to increase the incidence of screening among infants by up to 68.6%. However, the finding that 2.7% of screened infants developed treatment-requiring ROP underscores the importance of this guideline update. |
| format | Article |
| id | doaj-art-761ba2c2c8a24a23acd03a16fffb7bfd |
| institution | Kabale University |
| issn | 1471-2415 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj-art-761ba2c2c8a24a23acd03a16fffb7bfd2025-08-20T03:37:28ZengBMCBMC Ophthalmology1471-24152025-07-012511610.1186/s12886-025-04182-wClinical effects of the 2021 update of the Turkish retinopathy of prematurity guidelineEmrah Ozturk0Nuray Tug1Ilknur Tuncer Fırat2Department of Ophthalmology, Faculty of Medicine, Inonu UniversityDepartment of Ophthalmology, Faculty of Medicine, Inonu UniversityDepartment of Ophthalmology, Faculty of Medicine, Inonu UniversityAbstract Purpose This study aims to assess the impact of the 2021 update of the Turkish Retinopathy of Prematurity (ROP) Guidelines within a tertiary care university clinic. Methods A retrospective evaluation was conducted on the medical records of premature infants (n = 366) who underwent ROP screening between September 2021 and June 2024 and attended regular follow-up visits. Among these infants, 217 (59.28%) met the previously established ROP screening criteria. A comprehensive analysis was performed on a dataset of 149 (40.71%) additional screenable premature infants (gestational age > 32 weeks and birth weight > 1500 g) according to the revised criteria. Results A total of 149 patients were included in the study. Among these patients, 65 (43.6%) were female and 84 (56.4%) were male. The mean gestational age was 33.85 ± 1.17 weeks, and the mean birth weight was 2051.07 ± 399.63 g. During the follow-up period, 17 patients (11.4%) developed ROP, with four patients (2.7%) exhibiting treatment-requiring ROP. The mean gestational age at delivery for patients who developed ROP was 33.70 ± 1.24 weeks, and their mean birth weight was 2155.65 ± 368.75 g. No significant differences were observed between these patients and those who did not develop ROP (p = 0.627, p = 0.521, respectively). Conclusions The recent update to the Turkish ROP guideline has the potential to increase the incidence of screening among infants by up to 68.6%. However, the finding that 2.7% of screened infants developed treatment-requiring ROP underscores the importance of this guideline update.https://doi.org/10.1186/s12886-025-04182-wGuideline updatePremature infantsRetinopathy of prematurityScreeningPlus disease |
| spellingShingle | Emrah Ozturk Nuray Tug Ilknur Tuncer Fırat Clinical effects of the 2021 update of the Turkish retinopathy of prematurity guideline BMC Ophthalmology Guideline update Premature infants Retinopathy of prematurity Screening Plus disease |
| title | Clinical effects of the 2021 update of the Turkish retinopathy of prematurity guideline |
| title_full | Clinical effects of the 2021 update of the Turkish retinopathy of prematurity guideline |
| title_fullStr | Clinical effects of the 2021 update of the Turkish retinopathy of prematurity guideline |
| title_full_unstemmed | Clinical effects of the 2021 update of the Turkish retinopathy of prematurity guideline |
| title_short | Clinical effects of the 2021 update of the Turkish retinopathy of prematurity guideline |
| title_sort | clinical effects of the 2021 update of the turkish retinopathy of prematurity guideline |
| topic | Guideline update Premature infants Retinopathy of prematurity Screening Plus disease |
| url | https://doi.org/10.1186/s12886-025-04182-w |
| work_keys_str_mv | AT emrahozturk clinicaleffectsofthe2021updateoftheturkishretinopathyofprematurityguideline AT nuraytug clinicaleffectsofthe2021updateoftheturkishretinopathyofprematurityguideline AT ilknurtuncerfırat clinicaleffectsofthe2021updateoftheturkishretinopathyofprematurityguideline |