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8/2/2018 Amr Mohamed 1
• ZONES
• stages
• Plus , pre-plus
• “ AP-ROP”
8/2/2018 Amr Mohamed 2
8/2/2018 Amr Mohamed 3
8/2/2018 Amr Mohamed 4
8/2/2018 Amr Mohamed 5
8/2/2018 Amr Mohamed 6
8/2/2018 Amr Mohamed 7
8/2/2018 Amr Mohamed 8
8/2/2018 Amr Mohamed 9
8/2/2018 Amr Mohamed 10
8/2/2018 Amr Mohamed 11
8/2/2018 Amr Mohamed 12
8/2/2018 Amr Mohamed 13
8/2/2018 Amr Mohamed 14
Stage 5 : Total RD
8/2/2018 Amr Mohamed 15
8/2/2018 Amr Mohamed 16
8/2/2018 Amr Mohamed 17
8/2/2018 Amr Mohamed 18
8/2/2018 Amr Mohamed 19
8/2/2018 Amr Mohamed 20
28 days-old preterm baby ,
Gestational age = 30 weeks ,
Birth weight = 1.4 kg ,
has Respiratory distress and on O2 mask .
8/2/2018 Amr Mohamed 21
8/2/2018 Amr Mohamed 22
8/2/2018 Amr Mohamed 23
8/2/2018 Amr Mohamed 24
• 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 “.
8/2/2018 Amr Mohamed 25
28 days-old preterm baby (CA = 32 weeks) ,
Gestational age = 28 weeks ,
Birth weight = 1 kg ,
has Respiratory distress .
8/2/2018 Amr Mohamed 26
8/2/2018 Amr Mohamed 27
8/2/2018 Amr Mohamed 28
• Good pupillary dilation
• No plus disease
• Stage 1 ROP In Zone 2
8/2/2018 Amr Mohamed 29
• 2 weeks follow up
8/2/2018 Amr Mohamed 30
42 days-old preterm baby
(corrected age = 31 weeks)
Gestational age = 25 weeks ,
Birth weight = 675 gm .
8/2/2018 Amr Mohamed 31
8/2/2018 Amr Mohamed 32
8/2/2018 Amr Mohamed 33
• Poor dilation with prominent iris vessels
“sign of Plus disease”
• Stage 3 in zone 1
Type 1 ROP
8/2/2018 Amr Mohamed 34
• Type 1 ROP
“ require immediate management”
• Anti – VEGF and follow within 1 week.
8/2/2018 Amr Mohamed 35
35 days-old preterm baby (CA = 31 weeks) ,
Gestational age = 26 weeks ,
Birth weight = 750gm ,
8/2/2018 Amr Mohamed 36
8/2/2018 Amr Mohamed 37
• Plus disease
• Stage 3 posterior zone 2
Type 1 ROP
8/2/2018 Amr Mohamed 38
8/2/2018 Amr Mohamed 39
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 ,
8/2/2018 Amr Mohamed 40
8/2/2018 Amr Mohamed 41
8/2/2018 Amr Mohamed 42
Surgery :
• Needs experienced pediatric vitreoretinal surgeon.
• Surgery has a lot of technical difficulties.
• poor visual prognosis .
8/2/2018 Amr Mohamed 43
8/2/2018 Amr Mohamed 44
8/2/2018 Amr Mohamed 45
• AAO website “ ROP – case based training “.
Books
• Retinopathy of prematurity _ current
diagnosis and treatment.
• Handbook of pediatric retinal disease.
8/2/2018 Amr Mohamed 46

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Retinopathy of prematurity