By DR KRISHNA R MURTHY | PROJECT LEADER
Retinopathy of prematurity (ROP) is a potentially avoidable cause of irreversible, and usually total blindness in infants who are born premature. This occurred 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. Blindness from ROP can be controlled by –·
Infants with ROP have a massively increased risk of other pathology: high degrees of myopia; squint; cortical brain damage. They require long term regular follow up so these problems can be detected and managed.
1. A 9 weeks male baby born in 33 weeks of gestation weighing 1130 gms was seen on 23.04.2020 by Dr.Krishna R Murthy. Eye fundus photos of the baby showed presence of ROP in both eyes in stage 2 in zone 1 in both eyes with no plus disease. The baby was advised for close follow up. In 10th week the baby was advised of advised of laser intervention to both eyes at the earliest as fundus photos showed plus disease in both eyes. The baby underwent laser treatment on 05.05.2020.
2. A 3 months old female baby with sepsis, low birth weight born in 7th month with 1.2 kgs was seen on 04.03.2020 by Dr.Krishna R Murthy. The baby’s parents gave a history of surgery of left hip arthrotomy on 19/12/2019. Eye fundus photos of the baby showed presence of ROP in both eyes in stage 4; left eye worse than right eye. The baby was advised for Vitrectomy surgery to left eye to attach the retina. The baby underwent Vitrectomy surgery on 08.05.2020.
As the baby was 3 months old, it required ICU backup + neonatal care services post surgery. After completion of surgery the baby was shifted to other hospital which was equipped with ICU & neonatal care services.
Plan of treatment
The surgery lasted for 2 hrs 30 min & was uneventful. Post surgery, the baby was shifted to ICU equipped hospital with a round the clock nursing staff and neonatologist. The baby was in intensive care unit & monitored for 1 day & was discharged with an advice for compliance to follow-up. As on 12.05.2020 the baby is doing well.
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