Course and outcome of retinopathy of prematurity in babies of multiple pregnancies
Purpose The aim of this study was to evaluate the course and outcome of retinopathy of prematurity (ROP) in babies of multiple pregnancies (twin and triplet neonates). Patients and methods This is a retrospective study in which we reviewed the records of 128 babies (all twin and triplet neonates), w...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Delta Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.djo.eg.net/article.asp?issn=1110-9173;year=2022;volume=23;issue=4;spage=276;epage=279;aulast=Gaber |
| _version_ | 1798006526618632192 |
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| author | Raouf Gaber Yasser R Serag Hazem A Elbedewy |
| author_facet | Raouf Gaber Yasser R Serag Hazem A Elbedewy |
| author_sort | Raouf Gaber |
| collection | DOAJ |
| description | Purpose The aim of this study was to evaluate the course and outcome of retinopathy of prematurity (ROP) in babies of multiple pregnancies (twin and triplet neonates).
Patients and methods This is a retrospective study in which we reviewed the records of 128 babies (all twin and triplet neonates), who were admitted to the biggest neonatal ICU in El Mahalla El-Kubra City, Gharbeya province, Egypt over the period between January 1, 2019 and July 1, 2021. The clinical information about perinatal neonates was collected. The main outcome measures were incidence, course, and final outcome of ROP in terms of regression (spontaneous or after treatment) or progression. The relationship of the clinical risk factors and the development of ROP were also analyzed.
Results The overall incidence of ROP in twins and triplets was 36%, which was statistically higher in triplets (24/36=66.6%) than in twins (22/92=24%) (P<0.001). The overall incidence of type 1 ROP was 28%. In 30 pairs of twins (30/46=65%), the course was symmetrical in both babies, while in 16 (35%) pairs, the course and outcome were asymmetrical. In six triplets (6/12=50%) the course was symmetrical, while in the other six (50%) triplets the course was asymmetrical.
Conclusion ROP can take asymmetrical course in twins and triplets. Even it can happen only in the heavier baby. Therefore, examination of both babies of twins and all babies of triplets is essential in ROP protocols. |
| first_indexed | 2024-04-11T12:56:10Z |
| format | Article |
| id | doaj.art-89ccddd9e629445b89c9c040298dbdee |
| institution | Directory Open Access Journal |
| issn | 1110-9173 2090-4835 |
| language | English |
| last_indexed | 2024-04-11T12:56:10Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Delta Journal of Ophthalmology |
| spelling | doaj.art-89ccddd9e629445b89c9c040298dbdee2022-12-22T04:23:04ZengWolters Kluwer Medknow PublicationsDelta Journal of Ophthalmology1110-91732090-48352022-01-0123427627910.4103/djo.djo_40_22Course and outcome of retinopathy of prematurity in babies of multiple pregnanciesRaouf GaberYasser R SeragHazem A ElbedewyPurpose The aim of this study was to evaluate the course and outcome of retinopathy of prematurity (ROP) in babies of multiple pregnancies (twin and triplet neonates). Patients and methods This is a retrospective study in which we reviewed the records of 128 babies (all twin and triplet neonates), who were admitted to the biggest neonatal ICU in El Mahalla El-Kubra City, Gharbeya province, Egypt over the period between January 1, 2019 and July 1, 2021. The clinical information about perinatal neonates was collected. The main outcome measures were incidence, course, and final outcome of ROP in terms of regression (spontaneous or after treatment) or progression. The relationship of the clinical risk factors and the development of ROP were also analyzed. Results The overall incidence of ROP in twins and triplets was 36%, which was statistically higher in triplets (24/36=66.6%) than in twins (22/92=24%) (P<0.001). The overall incidence of type 1 ROP was 28%. In 30 pairs of twins (30/46=65%), the course was symmetrical in both babies, while in 16 (35%) pairs, the course and outcome were asymmetrical. In six triplets (6/12=50%) the course was symmetrical, while in the other six (50%) triplets the course was asymmetrical. Conclusion ROP can take asymmetrical course in twins and triplets. Even it can happen only in the heavier baby. Therefore, examination of both babies of twins and all babies of triplets is essential in ROP protocols.http://www.djo.eg.net/article.asp?issn=1110-9173;year=2022;volume=23;issue=4;spage=276;epage=279;aulast=Gaberretinopathy of prematuritytripletstwins |
| spellingShingle | Raouf Gaber Yasser R Serag Hazem A Elbedewy Course and outcome of retinopathy of prematurity in babies of multiple pregnancies Delta Journal of Ophthalmology retinopathy of prematurity triplets twins |
| title | Course and outcome of retinopathy of prematurity in babies of multiple pregnancies |
| title_full | Course and outcome of retinopathy of prematurity in babies of multiple pregnancies |
| title_fullStr | Course and outcome of retinopathy of prematurity in babies of multiple pregnancies |
| title_full_unstemmed | Course and outcome of retinopathy of prematurity in babies of multiple pregnancies |
| title_short | Course and outcome of retinopathy of prematurity in babies of multiple pregnancies |
| title_sort | course and outcome of retinopathy of prematurity in babies of multiple pregnancies |
| topic | retinopathy of prematurity triplets twins |
| url | http://www.djo.eg.net/article.asp?issn=1110-9173;year=2022;volume=23;issue=4;spage=276;epage=279;aulast=Gaber |
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