Surgery Notes

Specialist Hospital Korea-Mexico Friendship submitted to the Ministry of Health of Yucatán (SSY) Screening Program for Retinopathy in premature infants, to prevent blindness in children Yucatan.
The researcher, Dr. Lourdes Cauich Aragon said that for Retinopathy of Prematurity (ROP) is a cause of disability, but preventable, so it is necessary to provide screening in premature babies.
At present the program “Retinopathy of Prematurity in Yucatan”, he clarified that it is a condition that occurs in newborns with risk factors who suffer from total blindness.
This type of blindness is derived from the retinal vascular immaturity in newborns exposed to factors such as exposure to oxygen, infection, transfusion, etc.
Thus, in the retina is abnormal regulation in the production of vascular endothelial growth factor vascular, so it alters the development of vascularization, and when a child loses insufficient sight.
Dr. Ermilo Sanchez Bueno said that the diagnosis be established early, when the patient attends the fourth or fifth week of life, ie, between weeks 35 and 40 of gestation corrected.
He explained that a specialist assesses the fundus by indirect binocular ophthalmoscopy using a pediatric speculum, with 20-diopter lens and scleral an identity.
The ROP is classified by grades and areas. Those who reach grade III or more require treatment by cryotherapy or laser photocoagulation.
The Grade IV may warrant surgical intervention, but when it is higher and retinal detachment, to date there is no treatment and are therefore totally blind.
Objectives and projects. Elizabeth Copas Silva, director of the hospital of La Amistad Korea-Mexico, reported that investigated the number of children with total blindness in Merida and found that the Multi Care Center “Luis Braille” there are 22 children with a history of prematurity, and of which 10 have between one and two years of age.
With the opening of the Neonatal Unit at the hospital in 2005 was established ophthalmic assessment and management of risk premature opening its doors also to the assessment and treatment of premature external ie other neonatal units.
He explained that in the span of the years 2005-2006 were seen by the ophthalmology, neonatology Friendship Hospital, 26 infants were diagnosed with some degree of ROP in 40% of them meriting cryotherapy 10% (three patients ) laser and 20% (five patients). Being totally blind patient. In 2007 we evaluated 14 preterm and in 2008 until September to 44 infants, with a total of 58 patients evaluated of which 55% (32 patients) had some degree of ROP. Deserved treatment of laser photocoagulation and of these 12 patients, 10 (83%) had remission of ROP, one of them warranted additional surgery. Were detected three patients with total blindness without treatment option, as they reached old age valuation grade V disease.

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