Retinopathy of prematurity ROP

Retinopathy of prematurity
  • Facts:
    Abnormal blood vessel development in the retina of the eye in a premature infant

    Blood vessels of the retina begin to develop 3 months after conception, complete development at the time of normal birth
    Eye development can be disrupted in premature infants, where the vessels may stop growing or grow abnormally from the retina into the normally clear gel that fills the back of the eye
    These vessels are fragile and can leak, causing bleeding in the eye
  • History / PE:
    Abnormal eye movements
    Crossed eyes
    Severe nearsightedness
    White-looking pupils (leukocoria)
  • Complications:
    Severe nearsightedness and blindness
  • Notes:
    Stage I: There is mildly abnormal blood vessel growth
    Stage II: Blood vessel growth is moderately abnormal
    Stage III: Blood vessel growth is severely abnormal
    Stage IV: Blood vessel growth is severely abnormal and there is a partially detached retina
    Stage V: There is a total retinal detachment

    Plus disease
    The dilation and twisting of the blood vessels matches or exceeds a standard photograph

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August 25th 2010