Benjamin Gonzalez, 3 months, with his mother Luisa at Unidad Nacional de Oftalmologia in Guatemala City, Guatemala. Benjamin was born at 32 weeks and developed retinopathy of prematurity, which Dr Ana Lucia Asturias treated. © CBM

Expanding retinopathy of prematurity services in Guatemala

The CBM-funded partner, National Ophthalmology Unit (UNO) in Guatemala, is doing everything possible to ensure that premature babies receive timely treatment to prevent blindness.

The telemedicine system allows us to reach babies in places that previously had no access to screening. It’s saving sight—and lives.

— Dr. Ana Lucia Asturias, National Ophthalmology Unit (UNO)

Retinopathy of Prematurity (ROP) is a leading cause of childhood blindness in Latin America. It affects premature babies born too early, whose eyes haven’t fully developed. Many babies born in low-resource settings, where early screening and treatment are unavailable, can experience irreversible vision loss. Yet for years, most hospitals in Guatemala lacked the equipment and the specialists to respond.

In Guatemala, public health spending is among the lowest in the region. Until recently, ROP services were limited to a few hospitals near the capital, leaving thousands of infants at risk of losing their sight.

Recognising this urgent need, the National Retinopathy of Prematurity (ROP) Programme was launched in January 2022, building upon earlier CBM-supported efforts to strengthen neonatal eye care.

Led by Dr. Ana Lucia Asturias, a dedicated pediatric ophthalmologist at the National Ophthalmology Unit (UNO), the program has worked to expand ROP screening and treatment services to hospitals nationwide.

The program trains neonatal staff in ROP diagnosis and care, equips hospitals with retinal imaging tools, and uses telemedicine to connect rural hospitals with UNO specialists. Parents are engaged through follow-up calls, in-person education, and materials in Mayan languages to improve return rates and awareness.

Initially available in only nine hospitals concentrated around the capital, the program has now extended services to 12 additional hospitals, prioritising regions with high rates of premature births and limited medical infrastructure.

Pioneer of early detection of retinopathy of prematurity

A doctor with a baby

Results so far

  • Coverage: 21 hospitals across Guatemala and growing—7 using telemedicine

  • Auge

    2,700+ premature babies screened in two years

  • Arztkoffer

    Hospital staff are trained annually in neonatal resuscitation and oxygen management

What’s next?

With €100,000 from the Else Kröner Fresenius Award, the program enters a new growth phase in 2025:

In 2024, the program won the Else Kröner Fresenius Award for Development Cooperation in Medicine, securing an additional €100,000 in funding to expand its reach. By the end of 2025, the project aims to screen 2,705 more babies, train more healthcare workers, and push for integration of ROP services into national policy and health budgets.

The program is designed to:

  • Train and equip healthcare professionals in ROP screening and treatment, including indirect ophthalmoscopy and laser techniques.
  • Increase ROP screening coverage by integrating services into more hospitals and expanding telemedicine capabilities.
  • Provide life-changing treatment, including anti-VEGF injections and laser therapy, to infants at risk of blindness.
  • Strengthen national health policies by developing and advocating for ROP management guidelines.

 

Interested partnering with CBM?

CBM welcomes institutional donor partners to scale this successful model—ensuring no child in Guatemala loses their sight to a preventable condition.

Interested partnering with CBM?

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