Retinopathy Of Prematurity

WHAT YOU SHOULD KNOW:

Retinopathy of prematurity (ROP) is when abnormal blood vessels develop in your baby's retinas. The retina is the part of the eye that captures light and sends information to the brain. ROP happens in premature babies or low birth weight babies. ROP most often affects both eyes.

CARE AGREEMENT:

You have the right to help plan your baby's care. Learn about your baby's health condition and how it may be treated. Discuss treatment options with your baby's caregivers to decide what care you want for your baby.

RISKS:

Laser therapy and cryotherapy can decrease peripheral vision. Your baby may get an infection after surgery. ROP may get worse, even after treatment. Your child may have vision problems as he grows. His vision may be blurry, or he may see floaters. Floaters look like spots, cobwebs, strings, or specks. He may see flashes of light. Your baby may have blurred vision or blindness. ROP can cause retinal detachment. This is when your baby's retina separates from the back of his eye. A detached retina can lead to vision loss.

WHILE YOU ARE HERE:

Informed consent

is a legal document that explains the tests, treatments, or procedures that your child may need. Informed consent means you understand what will be done and can make decisions about what you want. You give your permission when you sign the consent form. You can have someone sign this form for you if you are not able to sign it. You have the right to understand your child's medical care in words you know. Before you sign the consent form, understand the risks and benefits of what will be done to your child. Make sure all of your questions are answered.

Test:

Your baby's caregiver will do an ophthalmoscopy. Your baby's eyes will be numbed to prevent pain. Your baby may be given a pacifier or sweet liquid to soothe him. Your baby's caregiver will dilate your baby's pupils and look at the back of his eyes with an ophthalmoscope. An ophthalmoscope is a magnifying instrument with a light. He looks for abnormal blood vessels in your baby's eyes.

Treatment:

Your baby may need any of the following surgeries if his retinopathy is severe:

  • Laser therapy: Your baby's caregiver uses a laser to remove abnormal blood vessels.

  • Cryotherapy: Your baby's caregiver freezes areas of abnormal blood vessels to slow or stop their growth.

  • Scleral buckling: A band is placed on the eye to help prevent fluid inside the eye from pulling on scar tissue. This helps prevent retinal detachment. The band is removed at a later date as your child grows.

  • Vitrectomy: Your baby's caregiver removes the cloudy or bloody vitreous gel that fills the center of your baby's eye. The gel is replaced by saline (salt water) to maintain normal pressure in the eye.

© 2014 Truven Health Analytics Inc. Information is for End User's use only and may not be sold, redistributed or otherwise used for commercial purposes. All illustrations and images included in CareNotes® are the copyrighted property of A.D.A.M., Inc. or Truven Health Analytics.

The above information is an educational aid only. It is not intended as medical advice for individual conditions or treatments. Talk to your doctor, nurse or pharmacist before following any medical regimen to see if it is safe and effective for you.

Learn more about Retinopathy Of Prematurity (Inpatient Care)

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