Audit of a retinopathy of prematurity screening programme in the Limpopo province, South Africa

Journal of the Colleges of Medicine of South Africa

 
 
Field Value
 
Title Audit of a retinopathy of prematurity screening programme in the Limpopo province, South Africa
 
Creator Bandi, Ntsakisi Sutton, Christopher van der Lecq, Tshilidzi
 
Subject Ophthalmology retinopathy of prematurity; ROP screening; South Africa; sub-Saharan Africa; ROP prevalence
Description Background: Retinopathy of prematurity (ROP) is a potentially blinding disorder. South Africa (SA) has national ROP screening guidelines to aid the timely diagnosis of infants requiring treatment. Several tertiary units in SA have published data on the prevalence of ROP; however, data from some provinces are lacking. An audit of ROP screening programmes, especially in these areas, is important to determine the ROP prevalence and whether screening is based on the national criteria.
Methods: This retrospective audit included infants screened between 01 January 2019 and 30 June 2021 at a single tertiary unit in the Limpopo province, SA. The following criteria were used to identify eligible infants: birth weight (BW) 1500 g or gestational age (GA) 32 weeks.
Results: A total of 203 infants were screened. The mean BW and GA were 1250 grams (s.d. 239.0) and 30.4 weeks (s.d. 2.43), respectively. Nine (4.4%) infants were diagnosed with ROP and 2 (1.0%) infants required treatment. Most (95.1%,193) infants met the screening criteria. Screening was completed in 158 (77.8%) infants and 44 (22.0%) were lost to follow-up (LTFU).
Conclusion: Although eligible infants were identified based on the national criteria, a low prevalence of ROP was found among screened infants. This is likely because of lack of screening, late screening and high LTFU.
Contribution: This study shows the value and importance of auditing ROP screening programmes even in countries with national screening guidelines to identify areas for improvement.
 
Publisher AOSIS
 
Contributor Not applicable
Date 2025-08-15
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Observational study
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/jcmsa.v3i1.220
 
Source Journal of the Colleges of Medicine of South Africa; Vol 3, No 1 (2025); 5 pages 2960-110X 3105-4331
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://jcmsa.org.za/index.php/jcmsa/article/view/220/696 https://jcmsa.org.za/index.php/jcmsa/article/view/220/697 https://jcmsa.org.za/index.php/jcmsa/article/view/220/698 https://jcmsa.org.za/index.php/jcmsa/article/view/220/699
 
Coverage Africa 2019-2021 Preterm infants
Rights Copyright (c) 2025 Ntsakisi Bandi, Christopher Sutton, Tshilidzi van der Lecq https://creativecommons.org/licenses/by/4.0
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