In extremely premature infants born at <25 weeks gestational age, how do you individualize the timing and frequency of ROP screening?

Those extremely premature infants with an unstable clinical course or where the accuracy of GA was uncertain may need to be screened prior to 31 weeks PMA (post-menstrual age).

Please see our paper: Souverein et al., PMID 38878959.

In this study, among infants <=24 weeks gestational age at birth, we found that the earliest presentation of plus disease or disease requiring treatment occurred at a chronological age of 4 weeks. Therefore, initiating examinations at this age would have caught all case...