Status of The Prematurity of Retinopathy Diagnosis-Treatment Centers and Attitudes of Ophthalmologists In Turkey
Abstract
Objective: To aassess the working conditions and treatment preferences of premature retinopathy diagnosis and treatment centers across Turkey.Material and Method: An invitation was sent to eye experts who worked at diagnosis and treatment centers of retinopathy of prematurity ROP at least for a year. Experts who accepted the invitation are included in the study. Data were collected online using Google surveys.Results: Twenty-six eye specialists who worked in ROP diagnosis and treatment centers were the participants. While 46.2% of the eye experts stated an intermediate level of satisfaction regarding the working conditions, 11.5% reported as not satisfied at all. In 84.6% of the centers, the ROP examination was reported to be performed in a separate place from the other patients. Indirect ophthalmoscope with a camera was reported to be the most common imaging device in the diagnosis and treatment centers. Laser photocoagulation was the primary preference of the experts in the treatment of ROP except for the cases of aggressive posterior retinopathy AP-ROP .Conclusion: The resources of the PR diagnosis and treatment centers, the support provided and the satisfaction levels of the staff can show significant changes between regions
References
- Lad EM, Hernandez-Boussard T, Morton JM, Moshfeghi DM. Incidence of retinopathy of prematurity in the United States:1997 through 2005. Am J Ophthalmol 2009;148:451–8.e2. [CrossRef]
- Vartanian RJ, Besirli CG, Barks JD, Andrews CA, Musch DC. Trends in the Screening and Treatment of Retinopathy of Prematurity. Pediatrics 2017;139:e20161978. [CrossRef]
- Polin RA, Bateman D. Oxygen-saturation targets in preterm infants. N Engl J Med 2013;368:2141–2. [CrossRef]
- Kemper AR, Wallace DK, Quinn GE. Systematic review of digital imaging screening strategies for retinopathy of prematurity. Pediatrics 2008;122:825–30. [CrossRef]
- Chiang MF, Wang L, Busuioc M, Du YE, Chan P, Kane SA, et al. Telemedical retinopathy of prematurity diagnosis: accuracy, reliability, and image quality. Arch Ophthalmol 2007;125:1531–8. [CrossRef]
- Scott KE, Kim DY, Wang L, Kane SA, Coki O, Starren J, et al. Telemedical diagnosis of retinopathy of prematurity intraphysician agreement between ophthalmoscopic examination and image-based interpretation. Ophthalmology 2008;115:1222–8.e3. [CrossRef]
- Belda S, Pallas CR, De la Cruz J, Tejada P. Screening for retinopathy of prematurity: is it painful? Biol Neonate 2004;86:195–200. [CrossRef]
- Kumar H, Nainiwal S, Singha U, Azad R, Paul VK. Stress induced by screening for retinopathy of prematurity. J Pediatr Ophthalmol Strabismus 2002;39:349–50. [CrossRef]
- Laws DE, Morton C, Weindling M, Clark D. Systemic effects of screening for retinopathy of prematurity. Br J Ophthalmol 1996;80:425–8. [CrossRef]
- Rush R, Rush S, Nicolau J, Chapman K, Naqvi M. Systemic manifestations in response to mydriasis and physical examination during screening for retinopathy of prematurity. Retina 2004;24:242– 5. [CrossRef]
- Rush R, Rush S, Ighani F, Anderson B, Irwin M, Naqvi M. The effects of comfort care on the pain response in preterm infants undergoing screening for retinopathy of prematurity. Retina 2005;25:59–62. [CrossRef]
- Slevin M, Murphy JF, Daly L, O’Keefe M. Retinopathy of prematurity screening, stress related responses, the role of nesting. Br J Ophthalmol 1997;81:762–4. [CrossRef]
- Chiang MF, Keenan JD, Starren J, Du YE, Schiff WM, Barile GR, et al. Accuracy and reliability of remote retinopathy of prematurity diagnosis. Arch Ophthalmol 2006;124:322–7. [CrossRef]
- Roth DB, Morales D, Feuer WJ, Hess D, Johnson RA, Flynn JT. Screening for retinopathy of prematurity employing the retcam 120: sensitivity and specificity. Arch Ophthalmol 2001;119:268– 72. https://jamanetwork.com/journals/jamaophthalmology/ article-abstract/265424
- Yen KG, Hess D, Burke B, Johnson RA, Feuer WJ, Flynn JT. Telephotoscreening to detect retinopathy of prematurity: preliminary study of the optimum time to employ digital fundus camera imaging to detect ROP. J AAPOS 2002;6:64–70. [CrossRef]
- Richter GM, Williams SL, Starren J, Flynn JT, Chiang MF. Telemedicine for retinopathy of prematurity diagnosis: evaluation and challenges. Surv Ophthalmol 2009;54:671–85. [CrossRef]
- Gu B, Son J, Kim M. Amblyopia and strabismus by monocular corneal opacity following suspected epidemic keratoconjunctivitis in infancy. Korean J Ophthalmol 2011;25:257–61. [CrossRef]
- Chigbu DI, Labib BA. Pathogenesis and management of adenoviral keratoconjunctivitis. Infect Drug Resist 2018;11:981–93. [CrossRef]
- Yamazaki ES, Ferraz CA, Hazarbassanov RM, Allemann N, Campos M. Phototherapeutic keratectomy for the treatment of corneal opacities after epidemic keratoconjunctivitis. Am J Ophthalmol 2011;151:35–43.e31. [CrossRef]
- Adams GG, Bunce C, Xing W, Butler L, Long V, Reddy A, Dahlmann- Noor AH. Treatment trends for retinopathy of prematurity in the UK. active surveillance study of infants at risk. BMJ Open 2017;7:e013366. [CrossRef]
Türkiye Genelinde Prematüre Tanı-Tedavi Merkezlerinin ve Bu Merkezlerde Çalışan Uzman Göz Doktorlarının Çalışma Koşulları ve Tedavi Tercihleri
Abstract
Amaç: Türkiye genelinde prematüre tanı ve tedavi merkezlerinin öncelikli tedavi tercihlerini ve çalışma koşullarını değerlendirmek.Gereç ve Yöntem: En az bir yıl prematüre PR tanı ve tedavi merkezlerinde çalışmış göz uzmanlarına çalışmaya katılmaları için davet yollandı. Kabul eden uzmanlar çalışmaya dâhil edildi. Çalışmaya katılanlar online olarak Google anketler üstünden değerlendirilmeye alındı.Bulgular: PR tanı ve tedavi merkezinde çalışan 26 göz uzmanı çalışmaya katıldı. Çalışma koşullarından uzmanların %46,2 si orta seviyede memnunken %11,5’i hiç memnun olmadığı görüldü. PR muayenesi merkezlerin %84,6’sında diğer hastalardan ayrı bir yerde yapıldığı görüldü. Tanı ve tedavi merkezlerinde en sık bulunan görüntüleme cihazı olarak kameralı indirekt oftalmoskop olduğu görüldü. Agresif posterior prematüre retinopatiler APROP dışındaki prematüre retinopatilerin tedavilerinde uzmanların öncelikli tercihlerinin lazer fotokoagülasyon olduğu görüldü.Sonuç: PR tanı ve tedavi merkezlerinin olanakları, verilen destekler ve çalışan personelin memnuniyetleri bölgelere göre belirgin değişiklikler gösterebilmektedir
References
- Lad EM, Hernandez-Boussard T, Morton JM, Moshfeghi DM. Incidence of retinopathy of prematurity in the United States:1997 through 2005. Am J Ophthalmol 2009;148:451–8.e2. [CrossRef]
- Vartanian RJ, Besirli CG, Barks JD, Andrews CA, Musch DC. Trends in the Screening and Treatment of Retinopathy of Prematurity. Pediatrics 2017;139:e20161978. [CrossRef]
- Polin RA, Bateman D. Oxygen-saturation targets in preterm infants. N Engl J Med 2013;368:2141–2. [CrossRef]
- Kemper AR, Wallace DK, Quinn GE. Systematic review of digital imaging screening strategies for retinopathy of prematurity. Pediatrics 2008;122:825–30. [CrossRef]
- Chiang MF, Wang L, Busuioc M, Du YE, Chan P, Kane SA, et al. Telemedical retinopathy of prematurity diagnosis: accuracy, reliability, and image quality. Arch Ophthalmol 2007;125:1531–8. [CrossRef]
- Scott KE, Kim DY, Wang L, Kane SA, Coki O, Starren J, et al. Telemedical diagnosis of retinopathy of prematurity intraphysician agreement between ophthalmoscopic examination and image-based interpretation. Ophthalmology 2008;115:1222–8.e3. [CrossRef]
- Belda S, Pallas CR, De la Cruz J, Tejada P. Screening for retinopathy of prematurity: is it painful? Biol Neonate 2004;86:195–200. [CrossRef]
- Kumar H, Nainiwal S, Singha U, Azad R, Paul VK. Stress induced by screening for retinopathy of prematurity. J Pediatr Ophthalmol Strabismus 2002;39:349–50. [CrossRef]
- Laws DE, Morton C, Weindling M, Clark D. Systemic effects of screening for retinopathy of prematurity. Br J Ophthalmol 1996;80:425–8. [CrossRef]
- Rush R, Rush S, Nicolau J, Chapman K, Naqvi M. Systemic manifestations in response to mydriasis and physical examination during screening for retinopathy of prematurity. Retina 2004;24:242– 5. [CrossRef]
- Rush R, Rush S, Ighani F, Anderson B, Irwin M, Naqvi M. The effects of comfort care on the pain response in preterm infants undergoing screening for retinopathy of prematurity. Retina 2005;25:59–62. [CrossRef]
- Slevin M, Murphy JF, Daly L, O’Keefe M. Retinopathy of prematurity screening, stress related responses, the role of nesting. Br J Ophthalmol 1997;81:762–4. [CrossRef]
- Chiang MF, Keenan JD, Starren J, Du YE, Schiff WM, Barile GR, et al. Accuracy and reliability of remote retinopathy of prematurity diagnosis. Arch Ophthalmol 2006;124:322–7. [CrossRef]
- Roth DB, Morales D, Feuer WJ, Hess D, Johnson RA, Flynn JT. Screening for retinopathy of prematurity employing the retcam 120: sensitivity and specificity. Arch Ophthalmol 2001;119:268– 72. https://jamanetwork.com/journals/jamaophthalmology/ article-abstract/265424
- Yen KG, Hess D, Burke B, Johnson RA, Feuer WJ, Flynn JT. Telephotoscreening to detect retinopathy of prematurity: preliminary study of the optimum time to employ digital fundus camera imaging to detect ROP. J AAPOS 2002;6:64–70. [CrossRef]
- Richter GM, Williams SL, Starren J, Flynn JT, Chiang MF. Telemedicine for retinopathy of prematurity diagnosis: evaluation and challenges. Surv Ophthalmol 2009;54:671–85. [CrossRef]
- Gu B, Son J, Kim M. Amblyopia and strabismus by monocular corneal opacity following suspected epidemic keratoconjunctivitis in infancy. Korean J Ophthalmol 2011;25:257–61. [CrossRef]
- Chigbu DI, Labib BA. Pathogenesis and management of adenoviral keratoconjunctivitis. Infect Drug Resist 2018;11:981–93. [CrossRef]
- Yamazaki ES, Ferraz CA, Hazarbassanov RM, Allemann N, Campos M. Phototherapeutic keratectomy for the treatment of corneal opacities after epidemic keratoconjunctivitis. Am J Ophthalmol 2011;151:35–43.e31. [CrossRef]
- Adams GG, Bunce C, Xing W, Butler L, Long V, Reddy A, Dahlmann- Noor AH. Treatment trends for retinopathy of prematurity in the UK. active surveillance study of infants at risk. BMJ Open 2017;7:e013366. [CrossRef]
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Research Article |
| Authors | |
| Publication Date | December 1, 2020 |
| Published in Issue | Year 2020Issue: 4 |