ROP screening refers to Retinopathy of Prematurity (ROP) screening, a medical procedure used to detect abnormal blood vessel development in the retina of premature or low birth weight infants.
| Category | Details |
|---|---|
| Definition | Retinopathy of Prematurity (ROP) is a condition where abnormal blood vessel growth occurs in the retina of premature infants, potentially leading to retinal detachment and vision loss. |
| Who Should Be Screened? | • Premature infants born before 30 weeks of gestation • Infants with a birth weight less than 1,500 grams • Infants with unstable clinical courses like sepsis, respiratory distress |
| Timing of Screening | • Infants born at 27 weeks of gestation or later should be screened at 4-week postnatal age • Infants born before 27 weeks should be screened at 31 weeks’ postmenstrual age • Timing may vary based on the infant’s condition and gestational age |
| Importance | • To prevent vision loss and manage the progression of the disease • Timely treatment can prevent severe outcomes such as retinal detachment and blindness • To reduce the risk of retinal detachment and blindness |
Stage 1
Mildly abnormal blood vessel growth.
Stage 2
Moderately abnormal blood vessel growth.
Stage 3
Severely abnormal blood vessel growth with scar tissue.
Stage 4
Partially detached retina.
Stage 5
Completely detached retina.
| Treatment Option | Description |
|---|---|
| Laser Therapy | Laser photocoagulation is used to treat the peripheral avascular retina to prevent the growth of abnormal blood vessels. |
| Cryotherapy | Freezing parts of the peripheral retina to halt abnormal blood vessel growth. |
| Anti-VEGF Injections | Medications like bevacizumab are injected into the eye to block vascular endothelial growth factor (VEGF), which drives abnormal blood vessel growth. |
| Surgery | In severe cases, procedures such as scleral buckling or vitrectomy are performed to reattach a detached retina. |