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July 1985

Retinopathy of Prematurity

Author Affiliations

Member of the Committee for the Classification of Retinopathy of Prematurity Calgary, Alberta, Canada

Arch Ophthalmol. 1985;103(7):894-895. doi:10.1001/archopht.1985.01050070020012

To the Editor.  —In reply to the letter by Solomon1 and the reply of Garner2 on the international classification of retinopathy of prematurity (ROP), I agree with Garner's response to Solomon's suggestion that fluorescein angiography would give a better and an exact evaluation of the exact pathology of ROP. Solomon possibly would be correct if the test could be reliably achieved on all patients irrespective of stage or location of disease or general status of the patient. The international classification is primarily a standard of communication of ophthalmoscopically identifiable changes in severity of ROP3.The question of timing of examination deserves more comment. If one presumes that nothing is available to alter the course of the disease, then the timing of examination is not critical. One examination at approximately seven weeks of chronologic age to determine the presence of the disease and alert the pediatrician and the

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