Abstract
Amaç: Prematüre Retinopatisi (PR) muayenesinde, plastik kaplı ataçların skleral depresyondaki etkinliğini, yaygın olarak kullanılan standart halka şeklinde olmayan çelik sklreal depresörlerle karşılaştırarak değerlendirmek.
Yöntemler: Bu çalışmada plastik kaplı ataçlar ile standart halka şeklinde olmayan çelik skleral depresörlerin etkinliği ve muayene süresi karşılaştırılarak, prospektif, randomize ve kontrollü bir çalışma yapıldı.
Bulgular: Çalışmamızda, standart çelik depresörlere (ortalama süre: 8,4 saniye) kıyasla, plastik kaplı ataçlarla (ortalama süre: 7,6 saniye) daha hızlı sürede PR (Prematüre Retinopatisi) muayenesi yapabildiğimizi tespit ettik. İki farklı tip skleral depresörün ortalama muayene süreleri arasında anlamlı bir fark bulunmamıştır.
Sonuç: Daha önce ROP muayenesinde ataç kullanımı ile ilgili bir çalışma yapılmadığından, çalışmamızın ROP muayenesinde alternatif, ucuz ve etkili bir skleral çökertme yöntemi olarak, plastik kaplı ataçların avantajlarını açıklayan ilk çalışma olduğunu düşünmekteyiz.
References
- 1. Bas AY, Demirel N, Koc E, Ulubas Isik D, Hirfanoglu İM, Tunc T; TR-ROP Study Group. Incidence, risk factors and severity of retinopathy of prematurity in Turkey (TR-ROP study): a prospective, multicentre study in 69 neonatal intensive care units. Br J Ophthalmol 2018; 102(12):1711-6.
- 2. Dhillon B, Wright E, Fleck BW. Screening for retinopathy of prematurity: are a lid speculum and scleral indentation necessary? J Pediatr Ophthalmol Strabismus 1993; 30(6):377-81.
- 3. Ekinci A, Ardagil Akcakaya A, Ari Yaylali S, Sadigov F. Retinopathy of prematurity: our results of four years’ screen. Med J Okmeydani Train Res Hosp 2015; 31(2):75–81.
- 4. Fortes Filho JB, Eckert GU, Tartarella MB, Procianoy RS. Prevention of retinopathy of prematurity. Arq Bras Oftalmol 2011; 74(3):217-21.
- 5. Gebeşçe A, Uslu H, Keleş E, Yildirim A, Gürler B, Yazgan H, Baştürk B, Demirdöven M, Tonbul A. Retinopathy of prematurity: incidence, risk factors, and evaluation of screening criteria. Turk J Med Sci 2016; 46(2):315-20.
- 6. Hered RW. Use of nonsterile instruments for examination for retinopathy of prematurity in the neonatal intensive care unit. J Pediatr 2004; 145(3):308-11.
- 7. Hovland KR, Tanenbaum HL, Schepens CL. New scleral depressor. Am J Ophthalmol 1968; 66(1):117-8.
- 8. Kara C, Petriçli Seza İ. Prematüre retinopatisi klinik tanı ve sınıflama. Güncel Retina 2018; 2(1):21-8.
- 9. Kraushar MF. Learning scleral depression with binocular indirect ophthalmoscopy. Am J Ophthalmol 1979; 87(1):97-9.
- 10. Morizane Y, Takasu I, Mohri S, Ohtsuki H. A new scleral depressor for premature infants. Retina 2005; 25(8):1118.
Alternative, Effective and Cheap Method for Scleral Depression of ROP (Retinopathy of Prematurity) Examination
Abstract
Objective: To evaluate the effectiveness of plastic coated paperclips in scleral buckling by comparing it with a standard non-ring shaped steel indentator which is commonly used for ROP examination.
Methods: The prospective, randomized and controlled study was performed in this study by comparing the effectiveness and examination time of plastic coated paperclips and standart non-ring shaped steel scleral depressors.
Results: In our study, we found that, we could do ROP (Retinopathy of Prematurity) examination faster with paper clips (mean time: 7.6 seconds) when compared to standart steel depressors (mean time: 8,4 seconds). No significant difference was found between the mean examination times of the two different types of scleral depressors.
Conclution: We think that our study is the first study to explain the advantages of the paper clips about the usage of an alternative, cheap and effective scleral depression method in ROP examination, since there has been no previous study on the use of paper clips for ROP examination.
References
- 1. Bas AY, Demirel N, Koc E, Ulubas Isik D, Hirfanoglu İM, Tunc T; TR-ROP Study Group. Incidence, risk factors and severity of retinopathy of prematurity in Turkey (TR-ROP study): a prospective, multicentre study in 69 neonatal intensive care units. Br J Ophthalmol 2018; 102(12):1711-6.
- 2. Dhillon B, Wright E, Fleck BW. Screening for retinopathy of prematurity: are a lid speculum and scleral indentation necessary? J Pediatr Ophthalmol Strabismus 1993; 30(6):377-81.
- 3. Ekinci A, Ardagil Akcakaya A, Ari Yaylali S, Sadigov F. Retinopathy of prematurity: our results of four years’ screen. Med J Okmeydani Train Res Hosp 2015; 31(2):75–81.
- 4. Fortes Filho JB, Eckert GU, Tartarella MB, Procianoy RS. Prevention of retinopathy of prematurity. Arq Bras Oftalmol 2011; 74(3):217-21.
- 5. Gebeşçe A, Uslu H, Keleş E, Yildirim A, Gürler B, Yazgan H, Baştürk B, Demirdöven M, Tonbul A. Retinopathy of prematurity: incidence, risk factors, and evaluation of screening criteria. Turk J Med Sci 2016; 46(2):315-20.
- 6. Hered RW. Use of nonsterile instruments for examination for retinopathy of prematurity in the neonatal intensive care unit. J Pediatr 2004; 145(3):308-11.
- 7. Hovland KR, Tanenbaum HL, Schepens CL. New scleral depressor. Am J Ophthalmol 1968; 66(1):117-8.
- 8. Kara C, Petriçli Seza İ. Prematüre retinopatisi klinik tanı ve sınıflama. Güncel Retina 2018; 2(1):21-8.
- 9. Kraushar MF. Learning scleral depression with binocular indirect ophthalmoscopy. Am J Ophthalmol 1979; 87(1):97-9.
- 10. Morizane Y, Takasu I, Mohri S, Ohtsuki H. A new scleral depressor for premature infants. Retina 2005; 25(8):1118.
Details
| Primary Language | English |
|---|---|
| Subjects | Ophthalmology |
| Journal Section | Research Article |
| Authors | |
| Early Pub Date | September 13, 2024 |
| Publication Date | September 19, 2024 |
| Submission Date | August 13, 2023 |
| Published in Issue | Year 2024 |