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1 1 * (MD) - (PhD Candidate) - (MD) (MD) - (MD) * : reza_sm76@yahoo.com : 94/05/12 : 94/02/13 (MD) 93/11/07:. :. : : (%51/3) 40. (% 78/8) 78 : (%9) 7. (%48/7) (%10/3) 8 2 (%9) 7 4 (%44/6) 34 (%19/2) 15 (%88/5) 69. (%26/9) 21.. (%68/1) 47. ( ). : / / : : (2) (LBW) Gestational Low Birth Weight (GA) age.(3) World Health Organization (ROP) Retinopathy of Prematurity...(1)

2 - (Internal ). Consistency ( ) ( ) 17 SPSS (%78/8) (%51/3) ( ). Middle East.(4) Crescent..(5). LGA LBW.(6).(7)..(5) /95 / /

3 ... (P<0/001). 67/4..1 ( ) ( ) 99 ( 32-46) 78 ( 5-16) (P<0/121). (P<0/667)..3 ROP ( ) (9)7 (19/2)15 (44/6)34 4 (9)7 2 (10/3)8 2 (9)7 (100) 78 (%73/1) (%15/8) 9 (%19/3) (%26/3) 15 (%38/6) (%26/9) 89 ( ). (%73/3 28)..(2 ) (GA* ).2 ( ) (73/3)28 (55/3)21 (36/8)14 (21)8 (7/9)3 (5/3) 2 (2/6)1 (2/6)1 * ( 21) 1500 (%52/4) (%14/3) (%33/3). 3.(P<0/357) 1394 /95 / / 75

4 -.(13) ٱ 33 ROP GA.(13) GA GA.(15). 28/1 67/4.. (%48/7). (%36/8 %55/3 %73/7 ) 12/8. (P<0/63) (P<0/405) (%88/5) 69. (%68/1) (9 8).. 51/3 ( 37 ). GA 1501 BW BW.(10) 1501 BW 32 GA.(11).( ) ( ) /95 / /

5 ....(23 22) 4.(10) 35/ ( 1500 ) ( 32 ) (27) %95/5. %81/2 9.(26) 9 GA GA %5/1 28 BW %7/1) GA 27 ( 32 15/ BW. GA.( ) GA.(19 6) 9 19/2 10 /2.. 2.(10-12).(4) 72.(21 20) BW GA Neonatal Intensive Care Unite (NICU) /95 / / 77

6 -.(26) GA. BW GA : /1....(23) ( 1500 ) ( 32 ) GA 10.(24) 45/8.(25) /95 / /

7 Nguyen QD, Tawansy K, Hirose T. Recent advances in retinopathy of prematurity. Int Ophthalmol Clin 2001;41: Chiang R AJ,Flynn J. Incidence of retinopathy of prematurity from 1996 to Ophthalmology 2006(111): Hartnett ME, Trese M, Capone Jr A, Keats BJB, Steidl SM, editors. Pediatric retina. Philadelphia;Lippincott Williams & Wilkins, 2005: World Health Organization. International classification of impairments, disabilities and handicaps: a manual of classification relating to the consequences of disease. Geneva; World Health Organization, Gilbert C, Rahi J, Eckstein M, et al. Retinopathy of prematurity in middle-income countries. Lancet 1997;350: Gilbert C, Fielder A, Gordillo L, Quinn G, Semiglia R, Visintin P, et al. Characteristics of infants with severe retinopathy of prematurity in countries with low, moderate, and high levels of development: implications for screening programs. Pediatrics 2005;115:e Palmer EA, Flynn JT, Hardy RJ, Phleps DI, Phillips CL, Schaffer BD. Cryotherapy for Retinopathy of Prematurity Cooperative Group. Incidence and early course of retinopathy of prematurity. Ophthalmology 1991;98: Yorston D. The global initiative vision 2020: the right to sight childhood blindness Community Eye Health 1999;12(31): Gilbert C, Awan H. Blindness in children. BMJ 2003;327(7418): Section on Ophthalmology. American Academy of Peditrics, American Academy of Ophthalmology, American Association for Pediatric Ophthalmology and Strabismus. Screening Examination of Premature Infants for Retinopathy of Prematurity. Pediatrics 2006; 117(2): Wilkinson AR, Haines L, Head K, Fielder AR. UK Retinopathy of prematurity guideline. Royal College of Paediatrics and Child Health. Eye 2009; 23, Binkhathlan AA, Almahmoud LA, Saleh MJ, Srungeri S. Retinopathy of prematurity in Sausi Arabia: incidence, risk factors, and the applicability of current screening criteria. Br J Ophthalmol 2008; 92: Executive Regulations of Retinopathy of Prematurity Program. Neonatal Health Administration. the Ministry of Health, Medical Education Karkhaneh R, Mousavi SZ,Riazi-Esfahani M,et al. Incidence and risk factors of Retinopathy of Prematurity in a teriary eye hospital in Tehran. Br J Ophthalmol 2008;92: Kemper AR,Wallace DK.Neonataologists Practice and Experience in Arranging Retinopathy of Prematurity Screnning Services.Pediaterics 2007;120(3): Dutta,S,et al. Risk factors of threshold retinopathy of prematurity. Indian pediatr 2003; 24(7): Shah VA, et al. Incidance, risk factors of retinopathy of prematurity among very low birth weight infants in singapore. Ann Acad Med Singapore 2005; 34: Ghaseminejad A,Niknafs p.distribution of retinopathy of prematurity among very low birth weight infants in Singapore.Ann Acad Med Singapore 2005;34: Mousavi,S.Z, et al. Retinopathy of prematurity in infants with late retinal examination. J Ophtalmic Vis Res 2009; 4(1): Palmer EA, Flynn JT,Hardy RJ, et al.cryotherapy for Retinopathy of prematurity Cooperative Group. incidence and early course of retinopathy of prematurity. Ophthalmology 1991;98: Good WV, Hardy RJ, Dobson V, Palmer EA, Phelps DL, Quintos M, Tung B. The incidence and course of retinopathy of prematurity: findings from the early treatment for retinopathy of prematurity study. Pediatrics 2005;116(1): Day S,Menke AM,Abbott RL. retinopathy of prematurity malpractice claims:the Ophthamic Mutual Insurance Company experience.arch Ophthalmol 2009;127(6): Reynolds JD, Dobson V, Quinin GE, et al. CRYO- ROP and LIGHT-ROP Cooperative Study Groups. Evidence-based screening criteria for retinopathy of prematurity: natural history data from the CRYO-ROP and LIGHT-ROP Studies. Arch Ophthalmol 2002;120: Hashemi FK,Chaudhry TA,Ahmad K.An evaluation of referral system for retinopathy of prematurity in leading health centers across Karachi,Pakistan.J Pak Med Assoc 2010;60: Sathiamohanraj SR,Shah Pk,Senthilkumar D,et al. Practice of retinopathy of prematurityamong pediatricians in a tier two city of South India.Oman J Ophthalmol 2011;4(2): Mousavi SZ, Karkhaneh R, et al.screening of Retinopathy of prematurity:the role of educating the parents. Iranian J Ophthalmol 2010;22(2 ): Khalid Hashmi F, Anjum Chaudhry T, Ahmad Kh. An evaluation of referral system for retinopathy of prematurity in leading health centers across Karachi, Pakistan. JPMA 2010;60 (10): /95 / / 79

8 - Practice of Pediatricians About Screening Criteria of Retinopathy of Prematurity Alizadeh Y (MD) 1 - Hashemian H (MD) 2 - Khoshbakht M(PhD Candidate) 3 - * Soltani moghaddam R (MD) 1 - Mohammadi MJ(MD) 1 -Tavakoli N (MD) 4 *Corresponding Address: Eye Research Center, Guilan University of Medical Sciences, Rasht, Iran reza_sm76@yahoo.com Received: 27/ Jan/2015 Revise: 03/May/2015 Accepted: 03/Aug/2015 Abstract Introduction: Retinopathy of Prematurity (ROP) potentially leads to blindness and low vision in small but significant percentage of infants. Timely referral of the high risk infants is critical to diagnose and treat advanced stages of the disease. Objective: Evaluation of practice of Guilan province pediatricians about screening criteria for ROP. Materials and Methods: In this cross sectional study, Guilan province pediatricians practice about screening criteria for ROP have been evaluated by face to face method (using a questionnaire). Results: 78 Cases (78.8%)of the pediatricians participated in this study. 40 Cases (51.3%) considered prematurity alone as the sufficient criterion to refer infant for ROP screening. 38 pediatricians (48.7%) declared one or more risk factors to refer infant for ROP screening. About the appropriate time for screening,7 pediatricians (9%) voted for immediately after birth,15(19.2%) immediately after hospital discharge, 34 (44.6%) end of 4 weeks of birth,7 (9%) at the end of second months of age, and 8 (10.3%) after 2 months of age. only 21 (26.9%) pediatricians referred infants to the pediatric ophthalmologists or fellow of retina. 69 (88.5%) pediatricians requested for written reports of eye examination of which 47 cases (68.1%) recorded the written reports in medical records of the patients. Data analyzed by using chisquare and fisher exact test. Conclusion: it seems that upgrading of pediatricians practice helps for early diagnosis and treatment of infants at risk of ROP. Conflict of interest: non declared Key words: Neonatal Screening\ Referral and Consultation\ Retinopathy of Prematurity. Journal of Guilan University of Medical Sciences, No: 95, Pages: Please cite this article as: Alizadeh Y, Hashemian H, Khoshbakht M, Soltani moghaddam Reza, Mohammadi MJ, Tavakoli N. Practice of Pediatricians About Screening Criteria of Retinopathy of Prematurity. J of Guilan University of Med Sci 2015; 24(95): [Text in Persian] Eye Research Center, Guilan University of Medical Sciences, Rasht, Iran 2. Pediateric Research Center, Guilan University of Medical Sciences, Rasht, Iran Department /95of / Nursing, University / of Social welfare and rehabilitation, Tehran, Iran 4. Medical School, Guilan University of Medical Sciences, Rasht, Iran