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Indian Journal of Pediatrics
Erschienen in: Indian Journal of Pediatrics 4/2012

01.04.2012 | Symposium on AIIMS Protocols in Neonatology

Retinopathy of Prematurity

verfasst von: Deepak Chawla, Ramesh Agarwal, Ashok Deorari, Vinod K. Paul, Parijat Chandra, Rajvardhan V. Azad

Erschienen in: Indian Journal of Pediatrics | Ausgabe 4/2012

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Abstract

Retinopathy of prematurity (ROP) occurs due to abnormal proliferation of retinal vessels. The most important risk factors which predispose to development of ROP include oxygen therapy, anemia needing blood transfusion, sepsis and apnea. Very low birth weight neonates, those born at ≤32 week of gestation and other preterm neonates with risk factors must be screened for ROP. As a general rule first screening should be done at 1 month of postnatal age. If screening detects ROP not needing treatment follow up should be planned according to location and stage of ROP. Better visual outcomes are observed with earlier treatment at lower threshold. Peripheral retinal ablation with diode laser under adequate analgesia and sedation is the preferred method for treatment of severe ROP. Guidelines regarding the procedure of dilatation, ophthalmic examination and treatment (if required) have been provided in the protocol. Close co-operation between the ophthalmologist and neonatologist is essential for successful management of ROP.
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Metadaten
Titel
Retinopathy of Prematurity
verfasst von
Deepak Chawla
Ramesh Agarwal
Ashok Deorari
Vinod K. Paul
Parijat Chandra
Rajvardhan V. Azad
Publikationsdatum
01.04.2012
Verlag
Springer-Verlag
Erschienen in
Indian Journal of Pediatrics / Ausgabe 4/2012
Print ISSN: 0019-5456
Elektronische ISSN: 0973-7693
DOI
https://doi.org/10.1007/s12098-010-0279-7

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