Retinopathy of Prematurity
Conditions
Keywords
Breast milk, Retinopathy of Prematurity
Brief summary
The aim of this study is to investigate the effect of using breast milk as eye drops on ROP (Retinopathy of prematurity) disease observed in less then 32 weeks gestational age preterm babies.
Detailed description
Study Design: Prospective randomized placebo controlled trial Setting/Participants: Premature babies who are at high risk for retinopathy of prematurity (ROP) during their stay in the neonatal intensive care unit (NICU). The study will be carried out at Baskent University and it is planned that 70 participants will be included in the study. Study Interventions and Measures: After the randomization of the patients, 0.5 ml breast milk of the babies' own mothers will drop on the eye to the intervention group twice a day. IN the control group, %0.9 normal saline will drop as same amount. Primary outcome is any stage of ROP, secondary outcome is severe ROP (laser requiring ROP).
Interventions
0.5 ml 0.9% normal saline will drop on both eyes twice in a day.
0.5 ml breast milk from all infant's own mother will drop both eyes twice in a day
Sponsors
Study design
Masking description
Participant and Ophthalmologist who is the responsible the follow -up the ROP stages will be blind in the study. The neonatologist who is responsible for the care and follow-up of the patients will not be blind.
Intervention model description
Porspective Randomized Placebo Controlled Trail
Eligibility
Inclusion criteria
* Infants born between 22 and 32 gestational age weeks or under 1500 gr birth weight.
Exclusion criteria
* Infant death before first examination for ROP * parents who want to leave from the study * Contraindications for breast milk use (Active HIV infection, Active tuberculosis, CMV infection) * Inborn error of metabolism like galactosemia. * Congenital eye development disorders like agenesis, or situations that do not allow retina examination. * other lethal congenital molformations * congenital infections that affect the retina like TORCH infections.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Retinopathy of Prematurity | by 55 weeks post menstrual age | Number of participants with any stage of ROP |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Retinopathy of Prematurity | by 55 weeks post menstrual age | Number of participants with laser requiring - severe ROP |
Countries
Turkey (Türkiye)