1 / 11

R etrolental Fibroplasia

R etrolental Fibroplasia. Retinopathy of Prematurity Disturbance in the retinal vascularization in premature infants May be acute or chronic Usually bilateral, often asymmetric Causative role of supplemental oxygen. R etrolental Fibroplasia. Major risk factors Decreasing gestational age

jane
Download Presentation

R etrolental Fibroplasia

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. RetrolentalFibroplasia • Retinopathy of Prematurity • Disturbance in the retinal vascularization in premature infants • May be acute or chronic • Usually bilateral, often asymmetric • Causative role of supplemental oxygen

  2. RetrolentalFibroplasia • Major risk factors • Decreasing gestational age • Decreasing birth weight • Other associated risk factors • Acidosis • Apnea • PDA • Septicemia • Blood transfusions • Intraventricularhemorrhage

  3. RetrolentalFibroplasiaClinical Manifestations Reference: Nelson Textbook of Pediatrics. 18th Edition. 2007.

  4. RetrolentalFibroplasiaClinical Findings Reference: Nelson Textbook of Pediatrics. 18th Edition. 2007.

  5. RetrolentalFibroplasia

  6. Stage 1 ROP Stage 2 ROP Stage 3 ROP

  7. Stage 4 ROP Stage 5 ROP

  8. Stage 5 ROP

  9. RetrolentalFibroplasiaDiagnosis • Recommendations • Systematic serial ophthalmologic examinations of infants at risk • Infants weighing <1500g at birth • Infants born before 31 weeks AOG • Infants weighing >1500g at birth who have an unstable clinical course Reference: Nelson Textbook of Pediatrics. 18th Edition. 2007.

  10. RetrolentalFibroplasiaDiagnosis • Recommendations • Initial examination should be performed at 4th to 6th week of chronological age • ROP is diagnosed most often at 32nd to 44th week after conception. • Screening should continue until the retina is fully vascularized, until the changes of ROP have undergone spontaneous resolution, or until appropriate treatment has been given. Reference: Nelson Textbook of Pediatrics. 18th Edition. 2007.

  11. RetrolentalFibroplasiaTreatment • Early Treatment of Retinopathy of Prematurity Study • Recommends treatment for infants with Stage 2 disease with vascular tortuosity and engorgement • Laser – treatment modality of choice • Vitrectomy and lensectomy in cicatricial disease References: Nelson Textbook of Pediatrics. 18th Edition. 2007. Vaughan & Asbury’s General Ophthalmology 17th Edition. 2008.

More Related