case oriented presentation discussing retinopathy of prematurity

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2. • ZONES
• stages
• Plus , pre-plus
• “ AP-ROP”
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15. Stage 5 : Total RD
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21. 28 days-old preterm baby ,
Gestational age = 30 weeks ,
Birth weight = 1.4 kg ,
has Respiratory distress and on O2 mask .
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25. • Complete vascularization
• Regressed ROP treated with laser “ follow up
until 40-44 weeks “ depends on case.
• Regressed ROP treated with Anti-VEGF “
usually need long follow “.
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26. 28 days-old preterm baby (CA = 32 weeks) ,
Gestational age = 28 weeks ,
Birth weight = 1 kg ,
has Respiratory distress .
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29. • Good pupillary dilation
• No plus disease
• Stage 1 ROP In Zone 2
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30. • 2 weeks follow up
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31. 42 days-old preterm baby
(corrected age = 31 weeks)
Gestational age = 25 weeks ,
Birth weight = 675 gm .
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34. • Poor dilation with prominent iris vessels
“sign of Plus disease”
• Stage 3 in zone 1
Type 1 ROP
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35. • Type 1 ROP
“ require immediate management”
• Anti – VEGF and follow within 1 week.
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36. 35 days-old preterm baby (CA = 31 weeks) ,
Gestational age = 26 weeks ,
Birth weight = 750gm ,
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38. • Plus disease
• Stage 3 posterior zone 2
Type 1 ROP
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40. 3 monthes-old preterm male (CA = 40 weeks)was
born in peripheral hospital and pediatrician did not
request ophthalmology consult for him ,
Gestational age = 28 weeks ,
Birth weight = 750gm ,
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43. Surgery :
• Needs experienced pediatric vitreoretinal surgeon.
• Surgery has a lot of technical difficulties.
• poor visual prognosis .
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46. • AAO website “ ROP – case based training “.
Books
• Retinopathy of prematurity _ current
diagnosis and treatment.
• Handbook of pediatric retinal disease.
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