Education India Project #19979

Eye Screening for Premature Babies

by Vittala International Institute of Ophthalmology

Project Report | May 29, 2019
LITTLE STARS

By DR KRISHNA R MURTHY | PROJECT LEADER

5 weeks female baby treated for APROP

Retinopathy of prematurity (ROP) is a potentially avoidable cause of irreversible, and usually total blindness in infants who are born premature. It is a major cause of blindness in children and has lifelong implications for the child. This occurs because all preterm infants were given 100% oxygen whether they needed it or not. Oxygen is highly toxic to blood vessels, including those in the retina. Infants with ROP have a massively increased risk of other pathology like high degrees of myopia; squint; cortical brain damage. They need regular follow up so these problems can be detected and managed.

A 5 weeks female baby born in 27 weeks of gestation weighing 920 gms was reviewed on 21.02.2019 by Dr.Krishna R Murthy. The baby was at high risk of APROP. Aggressive posterior retinopathy of prematurity (AP-ROP) is a severe and rare form of ROP which is characterized by fast progression to an advanced stage. The baby was advised for antivegf injection to both eyes at the earliest. Anti-VEGF drugs work by blocking the overgrowth of blood vessels in the retina. The baby underwent both eyes antivegf injection on 23.02.2019 followed by laser treatment. As on 09.05.2019 ROP has regressed in both eyes and the baby has been advised to review after 2 weeks.

A 7 weeks male baby born in 28 weeks of gestation weighing 1000 gms was reviewed on 25.03.2019 on follow-up for detection of ROP. The baby was diagnosed to have both eyes ROP in stage 2 in zone 2 (zone means part of the retina affected, a) central b) peripheral & c) outer part of retina) with plus disease. The baby was advised for laser intervention to both eyes to avascular retina. The baby underwent both eyes laser treatment on 27.03.2019. As on 08.04.2019 ROP has regressed in both eyes and the baby is doing well.

APROP fundus photo

7 months male baby treated for ROP

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Feb 25, 2019
Eyes - Vision Faculty

By DR KRISHNA R MURTHY | PROJECT LEADER

9 weeks old female baby treated for ROP

ROP is a problem with the way the blood vessels develop on the surface of the retina. When a baby is born prematurely these blood vessels are immature like the rest of the baby. In most premature babies the retinal blood vessels grow properly. In some premature infants the blood vessels start to grow the wrong way. Instead of branching like a tree the vessels link up side to side and in some cases grow away from the retina towards the centre of the eye. The severity of ROP is graded from stage one to stage five. Stage one is the mildest and stage five the most severe.

1. A 9 weeks female baby born in 31 weeks of gestation weighing 900 gms was reviewed on 26.11.2018 by Dr.Krishna R Murthy. The baby was diagnosed to have ROP Retinopathy of Prematurity (ROP) in stage 2 in zone 2 with early plus disease. The baby was advised for laser intervention to both eyes to avascular retina at the earliest. The baby underwent both eyes laser treatment on 01.12.2018. As on 14.01.2019 ROP has regressed in both eyes and the baby has been advised to review after 6 months with an Ophthalmologist locally.

2. A 4 weeks female baby born in 28 weeks of gestation weighing 118 gms was on close follow-up for detection of ROP. The baby was administered antivegf injection when the baby was 13 weeks old. When the baby was reviewed in Dec 2018; increase in vessel tortuosity was noted and the baby was advised for laser intervention to both eyes to avascular retina. The baby underwent both eyes laser treatment on 12.12.2018. As on 28.01.2019 ROP has regressed in both eyes and the baby has been advised to review after 2 weeks.

3. A 5 weeks female baby twins born in 29 weeks of gestation weighing 1100 and 1300 gms were evaluated on 29.12.2018; The babies were diagnosed to have ROP in stage 2 in zone 2 with plus disease. The babies were advised for laser intervention to both eyes to avascular retina. The babies underwent both eyes laser treatment on 02.01.2019. As on 16.02.2019 ROP has regressed in both eyes in both babies and are doing well.

All babies are in embrace nest

twin babies treated for ROP

4 weeks old baby treated for ROP

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Nov 28, 2018
Power of perception

By DR KRISHNA R MURTHY | PROJECT LEADER

ROP stage 2 eye fundus photo

In the womb, the retina (the light sensitive surface at the back of the eye that converts images into nerve signals that the brain understands) develops slowly and the retinal blood vessels often only complete growing by the end of gestation. ROP occurs when a baby is born too early to have reached an important milestone in the development of their eyes. It is not passed on from parents to children. The blood vessels that supply this blood usually develop between weeks 16 and 36 of pregnancy. If a child is born prematurely these blood vessels can grow abnormally causing damage to the retina and baby’s vision.

1. A 12 weeks male baby born in 28 weeks of gestation weighing 1000 gms was evaluation on 19.09.2018 by Dr.Krishna R Murthy. The baby was diagnosed to have ROP Retinopathy of Prematurity (ROP) in stage 3 in zone 1 with early plus disease. The baby was advised for laser intervention to both eyes to avascular retina at the earliest. The baby underwent both eyes laser treatment on 22.09.2018. As on 22.10.2018 ROP has regressed in right eye and vitreous haemorrhage in noted in left eye, the baby has been advised to review at base hospital for left eye retinal evaluation at the earliest.

2. A 7 weeks male baby born in 28 weeks of gestation weighing 800 gms was evaluated on 22.10.2018; The baby was under treatment for Respiratory distress syndrome & neonatal jaundice. The baby was kept in the isolation ward for treatment. The fundus photos showed presence of ROP in stage 2 in zone 2 with plus disease. The baby was advised for laser intervention to both eyes to avascular retina. The baby underwent both eyes laser treatment on 31.10.2018. As on 12.11.2018 ROP has regressed in both eyes.

3. A 3 weeks old male baby (Twin 1) born in 31 weeks of gestation weighing 1850 gms was seen on 27.10.2018. The baby was diagnosed to have ROP Retinopathy of Prematurity (ROP) in stage 3 in zone 2 with early plus disease. The baby was advised for laser intervention to both eyes to avascular retina at the earliest. The baby underwent both eyes laser treatment on 31.10.2018. As on 17.11.2018 ROP has regressed and is advised to review after 1 week.

Regressed ROP post laser

ROP Stage 3

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