Retinopathy of Prematurity: Practical Approaches to Prevent Blindness

Address how to prevent blindness caused by retinopathy of prematurity with this online health course from the London School of Hygiene & Tropical Medicine.

Duration

4 weeks

Weekly study

5 hours

100% online

How it works

Unlimited subscription

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Accreditation

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Learn how the screening of ROP can help manage and prevent vision loss in babies

Retinopathy of prematurity (ROP) affects babies born preterm, before 37 weeks of gestation. Over 15 million babies worldwide are born prematurely each year, and it’s estimated over 20,000 of them will become blind from ROP.

On this course, you will learn how a practical team approach needs to be aligned across neonatal care and ROP screening, and treatment and follow-up healthcare services to help prevent blindness in preterm babies. You will also look at how the risk of ROP and the level of neonatal care can differ between high and low-income settings.

Image © The Queen Elizabeth Diamond Jubilee Trust / Poulomi Basu

  • Week 1

    Understanding retinopathy of prematurity

    • Welcome to the course and week 1

      An introduction to the main course objectives and a chance to think about how you learn. Introduce yourself and meet fellow learners for the first time.

    • What is ROP?

      In this activity, we first learn the definition of prematurity. We then move on to learn about retinopathy of prematurity and how the various stages and types of this complication of preterm birth are classified.

    • Epidemology and impact of ROP

      A 'third epidemic' of ROP is affecting premature babies mainly in low- and middle-income countries with long-term effects on the children and their carers and families.

    • Building the ROP team

      Preventing blindness from retinopathy of prematurity requires well coordinated and multidisciplinary health care teams. Image: Andrea Zin CC BY-NC-SA 4.0

    • Ensuring quality of care for preterm babies

      Build your knowledge week by week on practical approaches healthcare teams can use to improve quality of care for premature babies, reduce the risk of ROP and improve outcomes. Image: Dino Abatzidis CC-BY-NC-SA 2.0

  • Week 2

    Preventing retinopathy of prematurity

    • Risk factors of preterm birth

      Preventing premature birth is a key strategy to reduce the number of new cases of ROP.

    • The golden hour after birth

      Managing the first hour of preterm life is crucial for the long term outcomes of preterm babies and reducing their risk of developing ROP.

    • Preventing ROP in the neonatal intensive care unit

      Providing high quality standard care interventions in the NICU continues to improve preterm babies' health outcomes, including reducing their risk of ROP. Image Universidad de Guadalajara CC BY-NC-SA 4.0

    • Ensuring quality of care for preterm babies: The PDSA cycles

      Learn how healthcare teams can apply the Plan, Do, Study, Act cycles to identify whether a quality improvement intervention can work in a particular setting.

  • Week 3

    Screening and treatment for ROP

    • Principles of screening for ROP

      Active, timely screening is crucial to detect and manage ROP at an early stage after a baby is born prematurely. Image: Rajesh Pandey CC BY-NC-SA 2.0

    • Managing ROP screening

      There are multiple 'moving parts' in ROP screening and treatment services which must all be brought together and managed to prevent blindness in preterm babies. Image: PHFI CC BY-NC-2.0

    • Treatment for ROP

      The evidence base on preferred ROP treatment approaches has changed over the years, from cryotherapy to laser treatment and anti-VEGF medication.

    • Ensuring quality of care for preterm babies: The PDSA cycles

      Evaluate a real world application of the Plan, Do, Study, Act cycles to improve oxygen saturation monitoring in the NICU.

  • Week 4

    Following up premature babies

    • Understanding the long term ocular & cerebral complications of preterm birth

      Children born preterm must be followed up over the long term to identify and address any development delays or complications which are affecting their vision. Image: Afsane omidimorad CC BY-NC-SA 2.0

    • Managing ROP services and establishing programmes

      Monitoring ROP services and programmes is important to improve accountability for the use of funds and resources and to improve performance and prevent vision loss from ROP.

    • Ensuring quality of care for preterm babies: The PDSA cycles and Course summary

      Complete an appraisal of a real world application of Plan, Do, Study, Act cycles to improve oxygen saturation monitoring in the NICU and, finally, bring together your learning from the whole course and consider your next steps.

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