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.
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