3 weeks female baby treated for ROP
Almost all infants with ROP have a gestational age of 31 weeks or less (regardless of birth weight) or a birth weight of 1250 g or less; these indications are generally used to decide whether a baby should be screened for ROP. Any premature baby with severe illness in perinatal period (Respiratory distress syndrome, sepsis, blood transfusion, Intra ventricular haemorrhage, etc.) may also be offered ROP screening.
Retinal examination with scleral depression is generally recommended for patients born before 30–32 weeks gestation, or 4–6 weeks of life, which ever is later. It is then repeated every 1–3 weeks until vascularization is complete (or until disease progression mandates treatment).
Following pupillary dilation using eye drops, the retina is examined using a special lighted instrument (an indirect ophthalmoscope). Examination of the retina of a premature infant is performed to determine how far the retinal blood vessels have grown (the zone), and whether or not the vessels are growing flat along the wall of the eye (the stage). The stage of ROP refers to the character of the leading edge of growing retinal blood vessels (at the vascular-avascular border).
1. A 2 weeks male baby (twin 1) born in 30 weeks of gestation weighing 1280 gms was screened for ROP on 10.05.2021. Eye fundus examination of the baby did not show presence of ROP but incomplete retinal vascular development and areas of peripheral avascular retina was noted and baby was advised for close monitoring. When the baby was reviewed on 24.05.2021 eye fundus examination showed presence of ROP in stage 2 in zone 2 in both eyes with plus disease. The baby was advised for laser treatment to both eyes.
The baby underwent laser treatment on 29.05.2021. As on 07.06.2021 baby is doing well and ROP has refressed.
2. A 3 weeks female baby (twin 1) born in 29 weeks of gestation weighing 1000 gms was screened for ROP on 26.04.2021. Eye fundus examination of the baby showed presence of ROP in stage 2 in zone 2 (Zone 2 covers the middle of the retina) in both eyes with plus disease. The baby was advised for laser treatment to both eyes.
The baby underwent laser treatment on 04.05.2021. As on 17.05.2021 baby is doing well & ROP has regressed.
2 weeks male baby treated for ROP