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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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CASE REPORT
Year : 2015  |  Volume : 22  |  Issue : 3  |  Page : 393-395

Successful surgical management of retinopathy of prematurity showing rapid progression despite extensive retinal photocoagulation


Department of Vitreoretina, PBMA's H.V. Desai Eye Hospital, Pune, Maharashtra, India

Correspondence Address:
Salil S Gadkari
Department of Vitreoretina, PBMA's H.V. Desai Eye Hospital, Pune, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-9233.159778

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The management of retinopathy of prematurity (ROP) can be challenging in preterm babies with a gestational age <30 weeks, those with very low birth weight and multiple risk factors (eg., oxygen therapy for respiratory distress, sepsis, neonatal jaundice). A premature infant presented with "hybrid" zone 1 disease in the right eye and aggressive posterior ROP in the left eye. Both eyes were adequately treated with laser photocoagulation; however, the eyes deteriorated and progressed to stage 4 ROP. Both eyes eventually underwent intravitreal bevacizumab followed by lens sparing vitrectomy with good anatomical and visual outcome. Anticipation of progression despite laser photocoagulation in certain clinical scenarios, frequent follow-up and timely surgical intervention is paramount.


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