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Značaj oftalmološkog skrininga retinopatije prematuriteta kod prijevremeno rođene djece

Author(s):
1. Vesna Ljubojević, Medicinski fakultet Banja Luka , Republic of Srpska, Bosnia and Herzegovina
2. Ana Oros, Medicinski fakultet Univerziteta u Novom Sadu, Serbia
3. Milka Mavija, Klinika za očne bolesti UKC RS Banja Luka, Republic of Srpska, Bosnia and Herzegovina
4. Bojana Markić, Klinika za očne bolesti UKC RS Banja Luka, Republic of Srpska, Bosnia and Herzegovina
5. Milan Preradović, Specijalna hirurška bolnica iz oblasti oftalmologije “Medicolaser” Banja Luka, Republika Srpska, Bos, Republic of Srpska, Bosnia and Herzegovina


Abstract:
Apstrakt Retinopatija prematuriteta je oboljenje oka, odnosno krvnih sudova retine tokom njihovog razvoja kod prijevremeno rođene djece. Karakteriše se prestankom razvoja normalnih krvnih sudova, obliteracijom i pojavom proliferativne retinopatije koja može dovesti do sljepila kod prematurusa. Cilj efektivnog programa skrininga prematurne retinopatije je identifikovati prijevremeno rođenu djecu koja zahtijevaju tretman, među prematurusima koji ne zahtijevaju tretman. Idealan program skrininga treba da obezbijedi dijagnostikovanje svih slučajeva prematurne retinopatije, njihovo praćenje i istovremeno da minimizira broj stresnih skrining pregleda. Neonatalna njega prematurusima u znatnoj mjeri određuje pojavu i stepen težine ROP-a. U različitim zemljama incidencija ROP stadijum 3. je različita i kretala se od 5.2-25.5%. Program oftalmološkog skrininga se prilagođava svakoj zemlji pojedinačno i razvija se u tijesnoj saradnji pedijatra neonatologa i oftalmologa. Tehnološki razvoj medicine je poboljšao neonatalnu njegu i time doveo do povećanja stope preživljavanja prematurusa. Povećanje broja prematurusa utiče na rast značaja prevencije prematurne retinopatije. Abstract Retinopathy of prematurity is a disease of the eye or retinal blood vessels during their development in premature infants. It is characterized by the end of the development of normal blood vessels, obliteration and the appearance of proliferative retinopathy, which can lead to blindness of premature infants. The goal of an effective screening program of premature retinopathy is to identify premature infants who require treatment among premature infants who do not require treatment. The ideal screening program should provide diagnostics of all cases of premature retinopathy, their monitoring and at the same time to minimize the number of stressful screening examinations. Neonatal care of premature infants in a considerable extent determines the occurrence and stage of ROP . In different countries, incidence of ROP Stage 3 is different and ranged from 5.2 to 25.5%. The ophthalmological screening program has been adapted to each country individually and is developing in close co-operation of pediatric neonatologists and ophthalmologists. Technological development of medicine improved neonatal care and increased the survival rate of premature infants. As the number of premature infants increases, the significance of prevention of the retinopathy of prematurity is increasing.

Key words:
prematurna retinopatija,neonatalni skrining,prematurus,sljepilo

Thematic field:
Pedijatrijska oftalmologija

Date of abstract submission:
05.05.2017.

Conference:
Drugi kongres oftalmologa Republike Srpske sa međunarodnim učešćem

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