Reply to Comment on: Safety and Efficiency Reducing Retinopathy of Prematurity Guideline Sensitivity: An External Validation Using a Large US-Based Data Set

We appreciate the astute, international comments by Dr Parca on our article warning against overzealous examination guideline workload reduction instead balanced with the regional and institutional propensity toward treatment-warranted retinopathy of prematurity.

Even in rodent models of oxygen-induced retinopathy, disease severity is influenced by differences in oxygen delivery and genetic subtypes. The American Academy of Pediatrics’ initial examination and follow-up guidelines are built on a premise of uniform delivery of neonatal intensive care, which may not be comparable in different regions of the world.

We laud these evidence-based efforts to protect infant sight worldwide.

CRediT authorship contribution statement

ROBERT W. ARNOLD: Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing– original draft. JACK JACOB: Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Project administration, Resources, Software, Supervision, Validation, Visualization, Writing– original draft. AMY HUTCHINSON: Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Project administration, Resources, Supervision, Validation, Visualization, Writing– review & editing. LANCE SIEGEL: Data curation, Formal analysis, Investigation, Methodology, Project administration, Resources, Supervision, Validation, Visualization, Writing– review & editing. TOM LEE: Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Resources, Supervision, Validation, Visualization, Writing– review & editing. CAROLINA ADAMS: Conceptualization, Data curation, Formal analysis, Investigation, Methodology, Project administration, Resources, Supervision, Validation, Visualization, Writing– review & editing.

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Sep 19, 2026 | Posted by in OPHTHALMOLOGY | Comments Off on Reply to Comment on: Safety and Efficiency Reducing Retinopathy of Prematurity Guideline Sensitivity: An External Validation Using a Large US-Based Data Set

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