PURPOSE–to determine incidence of Retinopathy of prematurity (ROP) in a tertiary centre in North–west India and associated risk factors promoting development of ROP METHODS–Newborns fulfilling the screening criteria of National Neonatology Forum of India, underwent fundus examination using indirect ophthalmoscope. Risk factors including gestational age, birth weight, sex, and mode of delivery, respiratory distress syndrome, oxygen therapy, sepsis, intraventricular hemorrhage & blood transfusion were noted RESULT–out of the studied 200 consecutive infants over 12 months study period, 59 developed ROP. 43 infants required treatment in form of LASER photocoagulation or AntiVEGF. There was a significant relationship between occurrence of ROP & gestational age (p=0.0001), birth weight (p=0.0001), oxygen therapy (p=0.0337), sepsis (p=0.0094) & blood transfusions (p=0.0085). CONCLUSION–Our study outlines the prevalence of risk factors for the development of ROP & thus highlights the need to strategize the screening guidelines to better assess the Indian population