First Experience by the Treatment of Retinopathy of Prematurity in Latvia
The problem of Retinopathy of Prematurity (Retinopathia praematurorum) is treated from Ophthalmologistsand Neopatologists since 1981, after two cases of Retinopathy have been founded to newborns. In the Eye diseases department of Childrens Hospital of the Latvian Medical Academy in the time period from 1981 till 1998 there were registered 38 premature infants with bilateral blindness in stage 5 of ROP. 6% of all newborns in Latvia are premature. 1/8 of aII prematture infants are with birth weight under 1500 g. Each year 2 - 3 become blind because of ROP.
Only since 1996 the ophthalmologists of Latvia began systematically treatment of ROP cryotherapy recommended by the Study of CR-ROP (USA, 1988) and the Eye Diseases Clinic Of University of Muenster, Germany. From 1996 till 1997 18 premature infants with different stages of ROP were treated with cryocoagulation. Although in 9 cases it elso led to fibroplasia retrolentalis. The birth weight uf those children were less than 1200 g. In other 9 cases we have good results.
Our results are quite similar to those in main literature about the above mentioned problem. The incidence of blindness is approximately 50%. The early risk estimating is needed for futher optimising of prophylaxis in neonatology.
Eye Dipeases Clinic of Childrens Hospital of the Latvian Medical Academy, Vienibas gatve 45, Riga, Latvia. LV 1D04