1. ROP como causa de ceguera en niños en América Central y América del Sur Andrea Zin Departamento de Neonatologia/Unidade de Pesquisa Clinica Instituto Fernandes Figueira/FIOCRUZ Rio de Janeiro, Brasil Subcomite Ceguera Infantil/IAPB

3. ROP in Latin America: Where are we and where are we going? Gilbert C, Rahi J, Eckstein M, O’Sullivan J, Foster A. Retinopathy of prematurity in middle-income countries. The Lancet 1997;350:12-4

4. ROP in Latin America: Where are we and where are we going? http://www.v2020la.org/bulletin/eng/docs/boletin_10/tema_1.htm

7. Latin America: IAPB Situation Analysis - ROP Chairs: A Zin, M de la Fuente 2144 4282 42035 541,530,811 Total 97 194 1940 25,730,435 Venezuela 11 22 220 3,431,932 Uruguay 116 233 2328 28,302,603 Peru 38 76 761 6,506,464 Paraguay 14 28 283 3,191,319 Panama 28 55 550 5,570,129 Nicaragua 446 892 8925 107,449,525 Mexico 42 83 833 7,326,496 Honduras 74 148 1477 12,293,545 Guatemala 37 73 732 6,822,378 El Salvador 60 120 1202 13,547,510 Ecuador 43 85 852 9,183,984 Dominican Republic 46 92 918 11,382,820 Cuba 30 59 394 4,075,261 Costa Rica 176 352 3515 43,593,035 Colombia 37 74 1483 16,134,219 Chile 626 1251 12512 188,078,277 Brazil 21 42 422 8,989,046 Bolivia 202 403 2688 39,921,833 Argentina Blind Severe ROP Survive < 1500g Pop Country

9. ROP in Latin America I LA ROP Workshop, Lima, Peru, 2005

10. II LA ROP Workshop, Mar del Plata, Argentina, 2008 ROP in Latin America Facilitators ROP Workshop, Panama, 2008

11. Screening and Treatment Guidelines The LA ROP screening and treatment guidelines were written according to what was presented in the Latin American Workshop, Lima, Peru ROP in Latin America

17. ROP in Latin America

21. Experiencias positivas: Fortalecimiento de grandes Servicios de Neonatología 2004-2007 77% 50% Nº de casos de ROP tratados según semestres 2004-2007. 30 Servicios públicos de Neonatología. Argentina

31. ROP in Latin America * ROP Included in National Health Plan** Written StrategySource http://www.census.gov/ipc/www/idb/informationGateway.php accessed July 14 2009 ? 6 8 3 5 4 6 7,371,000 348,251,677 Total ? 0 1 0 0 0 0 553,000 26,815,000 Venezuela ? 0 0 0 0 0 0 49,000 3,494,000 Uruguay ? 1 1 0 1 0 1 573,000 29,547,000 Peru ? 0 1 0 0 0 0 197,000 6,996,000 Paraguay ? 0 0 0 0 0 0 14,000 753,000 Guyana ? 1 1 1 1 1 1 303,000 14,573,000 Ecuador ? 1 1 1 1 1 1 243,000 16,602,000 Chile ? 1 1 0 1 1 1 790,000 43,677 Colombia ? 1 1 0 0 0 1 3,663,000 198,739,000 Brazil ? 0 1 0 0 0 0 252,000 9,775,000 Bolivia ? 1 1 1 1 1 1 734,000 40,914,000 Argentina South America % Coverage Guideline Programme Plan MoH Committee National Policy** Policy* Live Births Population ROP: 1 = Yes; 0 = No 2009

32. ROP in Latin America *ROP Included in National Health Plan** Written StrategySource http://www.census.gov/ipc/www/idb/informationGateway.php accessed July 14 2009 ? 4 9 0 2 1 2 3,900,000 186,285,000 Total ? 0 1 0 0 0 0 68,000 3,360,000 Panama ? 0 1 0 0 0 0 137,000 5,891,000 Nicaragua ? 1 1 0 1 0 1 2,192,000 111,212,000 Mexico ? 0 0 0 0 0 0 56,000 2,826,000 Jamaica ? 0 1 0 0 0 0 206,000 7,834,000 Honduras ? 0 0 0 0 0 0 263,000 9,036,000 Haiti ? 0 1 0 0 0 0 371,000 13,277,000 Guatemala ? 0 1 0 0 0 0 182,000 7,185,000 ELS ? 1 1 0 0 0 0 216,000 9,650,000 Dom Republic ? 1 1 0 1 1 1 127,000 11,452,000 Cuba ? 1 1 0 0 0 0 74,000 4,254,000 Costa Rica ? 0 0 0 0 0 0 8,000 308,000 Belize % Coverage Guideline Programme Plan MoH Committee National Policy** Policy* Live births Population Mexico C-America Caribe

35. ROP in Latin America

36. ROP in Latin America

38. Aida Luz Ramirez Segovia Shirley Rocabado Cristina Tolaba Lourdes Torres Cecilia Reyes Irama Lopez Jovita Plascencia Ana Quiroga Gabriela Bauer Augusto Sola Eduardo Bancalari Brian Darlow Clare Gilbert Graham Quinn Jose Luis Rosselo Juan Carlos Silva Van Lansingh Rainald Duerksen Juan Jijena Clara Galviz Ana Maria Villanueva Ingrid Rangel Aurea Gonzalez Juan Ubiera Finella Rottman Maria Eugenia Sanchez Kevin Winthrop Luiz Porfirio Orozco Laura Espinoza Consuelo Zepeda Rommel Izaguirre Diego Mejia Roberto Yee Marco de la Fuente Alicia Benitez Ernesto Alda Lidia Galina Alejandro Dinerstein Celia Lomuto Luis Ahumada Teresa Sepulveda Maria Ines Martinini Carlos Roberto Martinez Marcos Rivera Celia Nakanami Norma Erpen Maria Claudia Rearte Margareth Dutra Rosane Ferreira Gloria Vasconcelos Telma Florencio Celia Nakanami Julio Urrets Zavalia Pablo Larrea Viviana Waissman Julio Urrets Zavalia Maria Eugenia Nano Mariana Vargas Liz Hasbun Patricia Pacheco Arminda Gil Ana Paz Maribel Jaramillo Paul Gallardo Telma Florencio Anna Ells Tania Corpeño Julio Manzitti Marta Galan Gustavo Aguirre Alexia Romanelli Alexis Esteche Pablo Cibils Joao Fortes Juan Pablo Lopez Ximena Katz Paola Dorta Claudia Zuluaga Luz Gordillo Juan Carlos Serrano Andrea Molinari Alfonso Almeida Renato Semiglia Leonora Martinotti Pedro Mattar Edwin Martinez Maria Alejandra Rodriguez Nilva Moraes Islane Verçosa Lloyd Hildebrand

39. Thank you