Retinopathy Of Prematurity (ROP) Service

Retinopathy Of Prematurity (ROP)
Retinopathy of Prematurity (ROP) is a condition affecting low birth weight premature infants who may be exposed to high levels of oxygen. This can lead to the development of abnormal blood vessels in the inner layer of the eye, potentially resulting in blindness if not detected and treated promptly.
Who Needs Screening?
Screening for ROP is essential for the following infants:
Retinopathy Of Prematurity (ROP) Serivce
All premature infants with a birth weight of 2000 grams or less.
Retinopathy Of Prematurity (ROP) Serivce
Babies born at or before 34 weeks of gestation
Retinopathy Of Prematurity (ROP) Serivce
Infants with a birth weight over 2000 grams, born after 34 weeks, if other ROP risk factors are present.
Retinopathy Of Prematurity (ROP) Serivce
Infants with a birth weight over 2000 grams, born after 34 weeks, if a neonatologist identifies a risk for ROP.
Retinopathy Of Prematurity (ROP) Serivce
Retinopathy Of Prematurity (ROP) Serivce
Risk Factors for ROP
In addition to prematurity and low birth weight, other risk factors include:
Retinopathy Of Prematurity (ROP) Serivce
Supplemental oxygen
Retinopathy Of Prematurity (ROP) Serivce
Unstable health during hospitalisation
Retinopathy Of Prematurity (ROP) Serivce
Hypoxemia
Retinopathy Of Prematurity (ROP) Serivce
Mechanical ventilation
Retinopathy Of Prematurity (ROP) Serivce
Hypotension
Retinopathy Of Prematurity (ROP) Serivce
Anaemia
Retinopathy Of Prematurity (ROP) Serivce
Blood transfusions
Retinopathy Of Prematurity (ROP) Serivce
Late-onset infections
Retinopathy Of Prematurity (ROP) Serivce
Delayed return to normal birth weight (beyond 14 days)
Retinopathy Of Prematurity (ROP) Serivce
Hypercarbia
Timing for Screening
Retinopathy Of Prematurity (ROP) Serivce
ROP screening should occur before 30 days of life.
Retinopathy Of Prematurity (ROP) Serivce
ROP screening should occur before 30 days of life. Optimal screening for infants weighing less than 1200 grams or born before 28 weeks is between the 2nd and 3rd week of life.
Retinopathy Of Prematurity (ROP) Serivce
Retinopathy Of Prematurity (ROP) Serivce
Screening Procedure
The screening is best performed in the presence of a neonatologist or pediatrician, ideally in the 'step-down room' of the neonatal intensive care unit. Key steps include:
Retinopathy Of Prematurity (ROP) Serivce
Administering the last feed approximately 1 hour before the examination.
Retinopathy Of Prematurity (ROP) Serivce
Dilating the infant’s pupils.
Retinopathy Of Prematurity (ROP) Serivce
Swaddling the infant in warm linen wraps.
Retinopathy Of Prematurity (ROP) Serivce
Conducting the ROP examination using indirect ophthalmoscopy with a 20 or 28 D lens, or preferably with Retcam imaging for documentation.
Retinopathy Of Prematurity (ROP) Serivce
Monitoring for signs of shortness of breath and bradycardia
Retinopathy Of Prematurity (ROP) Serivce
Using sterile pellets soaked in 24% sucrose or 10% dextrose for analgesia.
Retinopathy Of Prematurity (ROP) Serivce
Ensuring a functional resuscitation kit is readily available.
Treatment Facilities Offered
At Fathima Eye Care, we provide laser photoablation as the primary treatment modality, following international guidelines (ETROP). The procedure uses a 532nm green laser delivered via indirect ophthalmoscopy for specific stages of ROP.
Long-term follow-up is crucial for detecting potential visual disorders, such as:
Retinopathy Of Prematurity (ROP) Serivce
Strabismus (squint)
Retinopathy Of Prematurity (ROP) Serivce
Amblyopia (lazy eye)
Retinopathy Of Prematurity (ROP) Serivce
Myopia (short-sightedness)
Retinopathy Of Prematurity (ROP) Serivce
Childhood cataracts
Retinopathy Of Prematurity (ROP) Serivce
Retinal detachment
Retinopathy Of Prematurity (ROP) Serivce
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