ROP Screening Timing — RACP Paediatrics MCQ

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ModerateNeonatologyROP Screening TimingRACP Paediatrics

A preterm infant at 28 weeks is being considered for ROP screening. When should the first eye examination be performed?

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Correct answer: A — At 4-6 weeks postnatal age or 31-32 weeks PMA (whichever is later)

ROP screening should begin at 4-6 weeks postnatal age or 31-32 weeks postmenstrual age (whichever is later) for infants born <32 weeks or <1500 g. Subsequent examinations are performed every 1-2 weeks until retinal vascularisation is complete or disease regresses. Treatment (laser or anti-VEGF) is indicated for type 1 ROP.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: Retinopathy of Prematurity