Baby born prematurely at 29 wks, on examinationat 42wks with ROP both eyes shows stage 2 zone 1 'plus' disease, how will u manage the patient?
Examine the patient after 1 week
Laser photocoagulation of both eyes
Laser photocoagulation of worse eye, follow up of other eye
Vitreoretinal surgery
Examination of both eyes is impoant. Treatment options include laser therapy or cryotherapy.:ETROP group has recommended use of laser over the cryotherapy. Laser treatment. Laser photocoagulation using diode laser 810 nm or frequency doubled Nd: YAG (532 nm) with LIO (laser indirect ophthalmoscope) delivery should be carried out in all patients with high-risk pre-threshold, threshold, and aggressive posterior ROP. Post-laser treatment and follow-up. Antibiotic and steroid eye drops should be prescribed for a week. Post-laser treatment follow-up should be done weekly for 3 weeks and if required retreatment should be done. Subsequent follow-up examination should be continued at 3, 6 and 12 weeks after treatment. Long-term follow-up is must for timely management of complications if any. Ref AK khurana 6/e 285
Vitreous and retina