Retinopathy of Prematurity Clinical Trial
Official title:
Supplemental Therapeutic Oxygen for Prethreshold Retinopathy of Prematurity
The purpose of this trial was to determine the efficacy and safety of supplemental therapeutic oxygen for infants with prethreshold retinopathy of prematurity (ROP) to reduce the probability of progression to threshold ROP and the need for peripheral retinal ablation.
Retinopathy of prematurity (ROP) is an abnormal growth of the blood vessels in the eye that
occurs primarily in very premature infants. Eye development occurs normally in the womb; in
infants born prematurely, however, the blood vessels must finish developing outside the
protective environment of the uterus. Retinopathy of prematurity (also known as retrolental
fibroplasia) is a leading cause of blindness and other vision impairments (myopia,
strabismus, and amblyopia) in children, both in developed and developing countries.
This study was a randomized trial comparing the effects of 2 oxygenation strategies on the
progression of ROP. Infants with prethreshold ROP in at least one eye were eligible for the
study. Enrolled infants were randomized to receive either conventional oxygenation at a
pulse oximetry target of 89% to 94%, or supplemental oxygen to achieve a pulse oximetry
target range of 96% to 99%. Infant were placed on continuous pulse oximetry monitoring and
to maintain oxygen saturation, as much as possible, in the assigned target range.
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Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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