Virtual Conference
 Rosanna Josefina Fonseca Caceres

Rosanna Josefina Fonseca Caceres

San Pablo Maternal and Child Hospital, Paraguay

Title: Impact of a retinopathy of prematurity program


Introduction: Retinopathy of Prematurity (ROP) is one of the main causes of preventable blindness in childhood. The Fundación Visión, since 2004 began the investigation of ROP; and became then, a Prevention, Detection and Treatment Program in 2015.

Objectives: Describe the results on implementation of the ROP program and the results achieved by in its accessibility, effectiveness and quality of care.

Material and Method: Descriptive, ambispective study of consecutive cases of premature newborns with evaluation criteria; in a population that was evaluated in 2009 and from 2015 to 2021. Since 2015, a multidisciplinary team that was created to take in charge of: training on the subject for target staff and families; carry out evaluations and treatments. In order to optimize the evaluations, a RetCam (Wide-field camera used to capture images of the retina of premature neonates) was purchased; this resulted an innovation in telemedicine in this area in our country.

Results: The neonatal units included, increased from 3 to 8; covering 67% of neonatal intensive care units dependent on the Ministry of Health. From the records it was found that coverage increased from 36% in 2009 to 97% in 2019. In the first year the proportion of the number of evaluations increased between 28 and 218%; and the global results from July 2015 to December 2021 were: total number of patients: 3747; number of evaluated patients: 3271 (87%), ROP patients: 643/3271 (19.6%), ROP patients requiring treatment: 135/643 patients (21%), overall proportion of severe ROP with treatment: 135 /3271 patients (4%).

Conclusions: The program, through a multidisciplinary team and telemedicine innovation, managed to increase the proportion of coverage and decrease the serious cases that require treatment.