Successful surgical management of retinopathy of prematurity showing rapid progression despite extensive retinal photocoagulation | Zendy

Salil Gadkari | Zendy; Sucheta Kulkarni | Zendy; Rushita Kamdar | Zendy; Madan Deshpande | Zendy

Open Access

Successful surgical management of retinopathy of prematurity showing rapid progression despite extensive retinal photocoagulation

Author(s) -

Salil Gadkari,

Sucheta Kulkarni,

Rushita Kamdar,

Madan Deshpande

Publication year - 2015

Publication title -

middle east african journal of ophthalmology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.357

H-Index - 25

eISSN - 0975-1599

pISSN - 0974-9233

DOI - 10.4103/0974-9233.159778

Subject(s) - medicine , retinopathy of prematurity , vitrectomy , bevacizumab , gestational age , ophthalmology , laser coagulation , respiratory distress , surgery , pediatrics , visual acuity , pregnancy , chemotherapy , genetics , biology

The management of retinopathy of prematurity (ROP) can be challenging in preterm babies with a gestational age <30 weeks, those with very low birth weight and multiple risk factors (eg., oxygen therapy for respiratory distress, sepsis, neonatal jaundice). A premature infant presented with "hybrid" zone 1 disease in the right eye and aggressive posterior ROP in the left eye. Both eyes were adequately treated with laser photocoagulation; however, the eyes deteriorated and progressed to stage 4 ROP. Both eyes eventually underwent intravitreal bevacizumab followed by lens sparing vitrectomy with good anatomical and visual outcome. Anticipation of progression despite laser photocoagulation in certain clinical scenarios, frequent follow-up and timely surgical intervention is paramount.

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