Question

Retinopathy Of Prematurity - Importance Of Eye Screening In Preterm Babies!

Dr.Aditi Manudhane · Accepted Answer

Retinopathy of Prematurity refers to a disease of the eye, seen in premature babies. The condition causes blood vessels in the eye to grow abnormally and eventually bleed or leak, leading to scarring of the retina. As the scar starts to shrink, it pulls on the retina, detaching it from the back of the eye. Since the retina is an essential part of the visual apparatus, its detachment can potentially lead to blindness.

ROP may also lead to other complications such as

Nearsightedness
Farsightedness
Lazy eye
Crossed eyes
Glaucoma

Who are at risk?

The smaller and more premature the baby, the more it is at risk of developing Retinopathy of Prematurity.

Infants with a gestational age of 30 weeks or less
Infants weighing 3.3 pounds (1500gms) or less
This is because a premature delivery often disrupts the normal growth of blood vessels in the eye.

Why get screened for ROP?

Retinopathy of Prematurity does not exhibit noticeable signs or symptoms in infants. The only way to detect the condition is to undergo an eye examination.
The screening test will take place either at your baby s bedside or at the clinic of your ophthalmologist. The following steps are involved in the screening exam

The doctor will apply dilating eye drops to dilate the pupil. This will allow the doctor to monitor the condition of the eye closely
An eyelid speculum will help to hold the eyelids open
The doctor will check the retina using a sclera depressor, which allows the eye to move in all positions
Next, the doctor will direct a bright light into the eye using an ophthalmoscope to examine the retina.

In India, about, 1 in 1000 children is blind, in 24% to 47% of the cases, the reason is Retinopathy of Prematurity.

How often your baby needs screening for ROP depends on the status of the retina. Screening tests are typically done every 1-2 weeks until the condition is stabilized or cured. However, if the problem persists, the doctor may recommend screening every 4-6 weeks to make sure ROP does not deteriorate.

Treatment

All babies born prematurely should receive regular monitoring and testing, starting from a month after birth. Treatment for ROP will depend on the severity of the condition. Talk to an eye specialist and discuss options to prevent the disease from progressing further.

Rop Health Feed

Retinopathy Of Prematurity - Importance Of Eye Screening In Preterm Babies!

Abir hbe thalassemia, hb 6.9 wbc 10300, plate late 512000, uses folvite cal 500 hydrox urea 500. After stopping 60 days hydrox urea plate increase more than 300000. How it can be decreased?

Hi … good afternoon doctor. I have thalassemia intermediate. I am doing my treatment from pgi. And I also want to meet you regarding my problem. If you need and latest test reports, please text me. And also send me you address. Because I booked appointment and don’t know your address. Thanks.

My age is 38 I have adenomyosis. My doctor has done by operating adenomyomectomy. So I have treated aayurved treatment for this condition. I have future plan is pregnancy please solve my problem.

Am 28, had a scan and assessment shows 1. Pid 2. Acyesis the sonography description, p.o.d,15 mm depth fluid collection.

I'm having beta thalassemia minor but my parents are normal is it possible? If not what is the reason.

I am using ciprofloxacin tablet 500 mg is this antibiotic is enough for pid or should I go for any other antibiotic?

I was diagnosed having fluid in the pouch of douglas feature of pid for almost two years and using different antibiotics but still no any improvement.

Is there possible to bone marrow transplantation in thalassemia patients after spleen operation (spleen removals operation) please answer answer anybody as soon as possible.

I am 38-years-old female. I am afraid of surgeries but I am recently detected with adenomyosis. I am not sure whether medication is enough to treat ti or a surgery would be needed?

Pid infection pura thik ho sakta hai kya? Pid infection me pregnancy ho sakti hai? Pid infection me pet dard kun karta hai?