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학습 자료 둘러보기 →The red reflex must be assessed in all preterm infants at risk for ROP. A bilateral absent reflex is a medical emergency, as it often indicates advanced ROP with retinal detachment or dense vitreous hemorrhage.
First ROP screening exam is timed by postmenstrual age (PMA). For an infant born at 32 weeks, the initial exam should occur by 4 weeks of chronological age or 31-33 weeks PMA, per AAP guidelines.
Do not dismiss an absent red reflex as a technique error. Immediate dilation of the pupil and examination by an ophthalmologist is required to rule out Stage 4 or 5 ROP.
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