Project Report
| Mar 13, 2017
Nayana (eyes)
By DR.KRISHNA R MURTHY | Project Leader
![AP-ROP fundus photo]()
AP-ROP fundus photo
Baby of Madhavi, 4.5 months male baby
Baby of Madhavi is a preterm male baby born at 30 weeks with birth weight of 1020 gms in the month of September 2016. The baby had received pan-retinal photocoagualation(PRP) treatment 3 times for the pre-threshold AP-ROP (Aggressive posterior ROP whish is a rapidly progressing, severe form of ROP) in both eyes. The baby was reviewed in the month Despite lasertreatment, retinopathy progressed to partially retinal detachment sparing the macula(stage 4A). Characteristic features of this type of ROP are a posterior location, plus disease, and the ill-defined nature of the retinopathy, which usually progresses to stage 5 (total retinal detachment) if untreated.
Plan of treatment
Timely surgical intervention of Vitrectomy with Encircling Band + Cyrotherapy under general anaesthesia was done to both eyes. Surgical intervention of Vitrectomy for stage 4a ROP could achieve retinal reattachment & avoid of loss of vision.
![4.5 MONTHS OLD MALE BABY OPERATED FOR ROP]()
4.5 MONTHS OLD MALE BABY OPERATED FOR ROP
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Dec 13, 2016
Gift of Sight
By DR.KRISHNA R MURTHY | PROJECT LEADER
![Fundus Photo of Baby of Jyothi showing stage 4 ROP]()
Fundus Photo of Baby of Jyothi showing stage 4 ROP
Baby of Jyothi, 10 months male baby
Baby of Jyothi is a preterm male baby born at 30 weeks with birth weight of 1500gms. The baby was seen on 08.11.2016 at Davangere, Karnataka, India. The examination showed Retinopathy of Prematurity in stage 4 in both eyes. In left eye retinal detachment temporal to macula was noted. The surgeon explained the emergency situation of the baby’s ROP stage & parents were advised to get the baby to Bangalore for laser intervention. The baby was treated with laser to both eyes on 09.11.2016. The baby was advised to review at base hospital for left eye management which requires surgical management of Vitrectomy.
Management of stage 4 ROP becomes difficult as it progresses.Macula is the central part of the retina which contains the fovea which is essential for a clear vision in the eye. Any distortion of the macula or any macular detachment will lead to a decrease in vision. Therefore it is very important to control the disease in stage 3 itself, so that it does not progress to stage 4, wherein the macula may be threatened.
Plan of treatment
Timely laser intervention has been done to both eyes, in right eye ROP progression has regresseed and surgical intervention of Vitrectomy to left eye has been planned. Surgical intervention of Vitrectomy basically involves relief of traction over the Ridge, such that the retina can fall back or the traction and retinal detachment progression is prevented.
![Baby of Jyothi]()
Baby of Jyothi
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Sep 12, 2016
Sight Restoration effort
By DR.KRISHNA R MURTHY | Project Leader
![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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