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.
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