Education  India Project #19979

Eye Screening for Premature Babies

by Vittala International Institute of Ophthalmology
Eye Screening for Premature Babies
Baby of Pavithra, 3 months old baby
Baby of Pavithra, 3 months old baby

 

Baby of Pavithra 3 months male baby  is a preterm male baby born at 29 weeks with birth weight of 1200gms. The baby was treated with laser intervention to both eyes for ROP at Hassan, Karnataka, India. The baby was referred from hassan to our hospital for retinal evaluation and needful management. The findings were - baby was detected with ROP in stage IV in left eye, partially detached retina with macula off, persisting ROP in right eye. The baby was advised to undergo right eye  augmented laser treatment & surgical intervention of Vitrectomy to left eye to attach the retina. As the baby was 3 months old, it required ICU backup & neo natal care services post surgery.

 

Plan of treatment

Surgical intervention of Vitrectomy to left eye and augumented laser treatment to right eye under general anaesthesia was planned to save sight in both eyes. The surgery lasted for 3 hrs & was uneventful.  Post surgery, the baby was shifted to ICU equipped hospital with round the clock doctor care. The baby was in intensive care unit & monitored for 1 day & was discharged with an advice for compliance to follow-up.

Baby of Pavithra post surgery
Baby of Pavithra post surgery
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Baby of Vinutha - Photo when baby was 4 weeks
Baby of Vinutha - Photo when baby was 4 weeks

Baby of Vinutha, 4 weeks female baby

 

The baby was screened at Apollo Cradle for ROP screening. The baby was born with birth weight of 840 gms. The baby was screened for ROP, the fundus pictures of the baby showed Retinopathy of Prematurity in stage 3 with aggressive (APROP-Aggressive Posterior ROP) disease. The baby was advised for ROP management at the earliest to stop the aggressive progression of disease & to save the sight.

 

Plan of treatment

 

The baby received 1st sitting of laser photocoagulation treatment on 05.05.2016. The baby was reviewed on 28.05.2016. The APROP progression was persisting, the child was advised for 2nd sitting of laser photocoagulation intervention. As on 11.06.2016 the baby is doing well and ROP has regressed & the baby is now 12 weeks old with weight of 1940 gms.  

Baby of Vinutha - EYE FUNDUS Photo SHOWING ROP
Baby of Vinutha - EYE FUNDUS Photo SHOWING ROP
Baby of Vinutha - 12 weeks old
Baby of Vinutha - 12 weeks old
Baby of Vinutha-EYE FUNDUS PHOTO POST LASER TRTMT
Baby of Vinutha-EYE FUNDUS PHOTO POST LASER TRTMT
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Baby of Mahadevi
Baby of Mahadevi

 Dedication is the Ultimate Goal

 BABY OF MAHADEVI, 8 weeks male baby from Gulbarga, Karnataka, India

The baby was screened at Indira Gandhi Institute of Child Health Centre for ROP. The baby was born in gestation period of 27 weeks with birth weight of 1280 gms with date of birth 02.10.2015. When screened on 30.10.2015; the fundus pictures of the baby showed NO Retinopathy of Prematurity. The baby was advised for close follow-up as chances of progression was present. When the baby was reviewed on 01.02.2016 (17 weeks) the fundus images showed Retinopathy of Prematurity in stage 2 in zone 2. The baby was weighing 4200 gms. The baby was advised for ROP laser management under sedation due to weight of the baby.

 Plan of treatment

 The Laser therapy was scheduled at IGICH in NICU unit. The availability of OT for laser was planned, anaesthetist availability dates were noted. After entire arrangements in-house laser machine was carried to IGICH, as our mobile unit was on tour as per the scheduled dates. As a result of concerted effort the baby underwent laser treatment & is doing well & ROP has regressed.

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Baby of Rekha
Baby of Rekha

10763 progressions in screening for ROP detection in premature babies

3815 individual babies in ROP screening net.

 

Sight saving effort

 

Baby of Rekha, 8 weeks female baby

The baby was screened at Mandya Institute of Medical Sciences for ROP screening. The baby was born with birth weight of 900 gms. The fundus pictures of the baby were uploaded on to our inbuilt software. The screened pictures showed Retinopathy of Prematurity in stage 3 with disease. The baby was advised for ROP management at the earliest to stop the progression of disease & to save the sight.

 Plan of treatment

With a travel distance of 103 kms, our Medical Director planned the visit to MIMS for management of the baby. Timely screening & intervention helped to save sight. In the follow-up the baby is doing well, ROP has regressed. The determined effort has ended in good result.

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Pair of twins treated
Pair of twins treated

9970 Screenigs delivered

3541 individual babies in screening net

A Typical case

Baby Tanusha & Anusha - are  twins and were referred from Hassan for ROP evaluation and treatment. This small distcit town is about 120 miles from Bangalore and has only rudimentary facitilies for detection and treatment of complex conditions like ROP. Both female babies aged 5 1/2 months were evaluated by Dr.Chitralekha De.
The parents were unaware of ROP and how it affects prematurely born babies & how it has affected Baby Anusha. The changes and vision losss in
 Baby Anusha  are irreversable.  however we were able to treat Baby Tanusha due to the early detection of her condition. An early screening would have helped her sister save sight as well.

 

The project continues its impact actoss 11 districts in our state. since the last reporting period, 214 community health workers have been trained and sensitised in the need for early and regular screening. This has ensured that communities we serve also participate in the cause of these vulnerable infants

The project is also in the process of compiling and publishing scientific data from our efforts which we hope will ensure that better and more implementatble protocols are agreed upon.

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Organization Information

Vittala International Institute of Ophthalmology

Location: Bengaluru, Karnataka - India
Website:
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Vittala International Institute of Ophthalmology
Krishna Murthy
Project Leader:
Krishna Murthy
Medical Director
Bangalore, Karnataka India

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