[36][37] Retinal neovascularization and vitreous hemorrhage have even been reported 10 years after intravitreal bevacizumab without laser ablation therapy in a 10 year old.[38] Although the number needed to treat to prevent late retinal detachment is unknown, some advocate laser to significant PAR or leakage demonstrated on fluorescein angiography that persists following anti-VEGF treatment.[39] Laser damage of avascular retina removes the opportunity for vascularization of the peripheral avascular retina and potential visual field expansion, although delaying laser until older post menstrual ages may minimize this effect. Diagnostic Procedures
Following pupillary dilation using eye drops, the retina is examined using an indirect ophthalmoscope. The peripheral portions of the retina are pushed into view using scleral depression.
Research is also underway on medications for ROP. These drugs are injected (given Ganador shots) into the eye to stop unwanted blood vessel growth.
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Record keeping and communications with others: There is emphasis throughout the guideline on record keeping and communication both with parents/carers and between professionals Campeón well as the role of a ROP service coordinator.
Retinopathy of prematurity (ROP) is an eye disease in some premature babies born before 31 weeks. (A full-term pregnancy is about 38 to 42 weeks.) It is a problem that affects the tissue at the back of the eye called the retina.
Different countries have different guidelines for which babies should be screened for ROP. In the U.S., infants are typically screened if they:
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Stage 2: Ridge: The ridge arises from the demarcation line and has height and width, which extends above the plane of the retina. The ridge may change from white to pink and vessels may leave the plane of the retina posterior to the ridge to enter it.
Both of these treatments target very specific parts of the retina to try to stop abnormal blood vessel growth.
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Laser therapy. This treatment creates a pattern of small burns on the outer edges of your baby’s retina. These burns prevent abnormal blood vessels from forming. Laser therapy successfully treats ROP about 90% of the time.