[Skip to Navigation]
Invited Commentary
November 14, 2019

Time to Consider Adoption of New Retinopathy of Prematurity Screening Guidelines in the United States

Author Affiliations
  • 1The Jaeb Center for Health Research, Tampa, Florida
JAMA Ophthalmol. 2020;138(1):38-39. doi:10.1001/jamaophthalmol.2019.4622

Retinopathy of prematurity (ROP) is a leading cause of preventable blindness in children in high-income and middle-income countries. Prevention requires screening of infants who are premature and at risk with a series of examinations using indirect ophthalmoscopy with pupillary dilation, generally starting at 31 to 34 weeks’ postmenstrual age and continuing until the retinal vasculature is sufficiently developed that the risk of ROP has subsided. Infants identified during screening as developing certain stages of ROP (known collectively as type 1 ROP), which can progress to complete traction retinal detachment and permanent blindness, are then treated with laser ablation or, increasingly, with a vascular endothelial growth factor–inhibiting drug.

Add or change institution
Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words