Abstract: Objective To discuss the collaborative screening mode of ophthalmology and neonatal intensive care unit for retinopathy of prematurity. Methods 293 premature infants were examined in the Neonatal Intensive Care Unit(NICU) of the Affiliated Hospitai of Binzhou Medical College by doctors of Ophthalmology from March 2011 to September 2012. Result 66.55% of premature infants were completed the screening, the incidence of ROP was 29.23%(57/195), 15.90% of infants were diagnosed with pre-threshold type II, 4.10% of infants were diagnosed with pre-threshold type I or the threshold of ROP. Conclusion The collaborative screening mode of ophthalmology and neonatal intensive care unit for retinopathy of prematurity could favor early detection, regularly followed up and timely treatment of ROP under the premise of effective guardianship of the physical condition of premature children.

Key words: retinopathy of prematurity, retcam wide-field digital retinal imaging, screening, neonatal intensive care unit

摘要： 目的 探讨眼科与新生儿重症监护病房协同对早产儿视网膜病变(retinopathy of prematurity, ROP)进行筛查的方式。方法 眼科医师在新生儿重症监护病房(NICU)中应用RetcamIII视网膜广域成像系统对本院2011年3月-2012年9月住院及门诊的293例符合ROP 筛查标准的早产儿进行视网膜筛查。结果 按检查要求完成筛查的患儿共195例, 发现ROP 患儿57例( 占完成筛查总数的29.23%) , 其中阈值前期II型病变共31例(占完成筛查总数的15.90%) , 阈值前期I型或阈值期病变共8例( 占完成筛查总数的4.10%) 。结论 这种眼科与新生儿重症监护病房协同配合对早产儿视网膜病变的筛查方式, 有利于在对早产儿身体情况有效监护的前提下ROP的早期发现、定期随诊和及时治疗。

关键词: 早产儿视网膜病变, Retcam视网膜广域成像系统, 筛查, 新生儿重症监护病房