Retinopathy of Prematurity - Pediatric Oncall

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

Childhood Ailments

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Question
My son is a prematurely born child of 7 weeks . His weight on birth was 900gms and he had to be kept in the incubator for about 2 months after birth. We noticed that his eyes were squinted, since early age ,but did not realize implications . He was first taken to an opthalmist at the age of three when he was diagnosed with regressive ROP in both the eyes. At the age of 5 yrs, he was taken to Moorfield Eye hospital , London where doctors examined him and suggested eye patching treatment for about 6 months . My son is currently doing well, but has a weak eyesight in both the eyes. His current visual acuity is 6/36(R) and 6/24(L). We have heard that ROP patients have a risk of retinal detachment later on in their life. I want to know if we need to take any precautions or if this risk can be avoided. Is there any treatment we can undertake at this stage? What are the chances of his vision improving? Shall be glad for a response . Thanks and regards
Answer
Yes, preterm babies do have a risk of retinopathy of prematurity that may lead to retinal detachment if extensive. Retinal detachment occurs in advanced stages of the disease usually beyond Stage 3. What was the stage of ROP in your child? Retinal detachment can be treated with laser or photocoagulation. His ophthamologist would be the best person to state the condition of his retina. At the moment, he would need regular ophthalmological checkup usually every 6 months to check on his eyesight. He needs to continue wearing his glasses and prevent eyestrain. Back to All Questions

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