FAQ - Retinopathy of Prematurity
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Question about intraocular pressure in retinopathy of prematurity?


My son is 26 yrs old and was diagnosed soon after birth with retinopathy of prematurity. The retina has detached and has been reattached via laser surgery. He can see shadows and can count fingers but not really see. Now his new opthalmologist says his eye pressure is 25, Does a blind person have the same risk of glaucoma?
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yes.
it doesn't matter if you can see out of the eye or not you can still develop glaucoma.

"normal" pressure usually ranges from about 10-18. once the eye pressure reaches 21+ there becomes cause for concern and treatment is usually recommended.

so your son will most likely be prescribed eye drops to help lower the pressure a bit.

i'm 23 and i've had 4 retinal detachments (twice in each eye). i developed glaucoma from the silicon oil used in the surgery and lost my vision in my left eye. luckily i can still see out of my right eye though. eye drops to lower the eye pressure worked well for my right eye but did not work well enough for the left eye so i had a tiny tube placed in that eye to help lower the pressure. at this point my glaucoma is completely under control. (usually between 12-15 in both eyes)  (+ info)

What is cicatricial retinopathy of prematurity?


I have several diagnosises, but this is the one I was born with.
What is it?
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Retinopathy of prematurity is a bilateral disorder of abnormal retinal vascularization in premature infants, especially those of lowest birth weight. Outcomes range from normal vision to blindness. Diagnosis is by ophthalmoscopy. Treatment of severe disease may include cryotherapy or photocoagulation; other treatment is directed at complications (eg, retinal detachment).

The inner retinal blood vessels start growing about midpregnancy, but the retina is not fully vascularized until term. Retinopathy of prematurity (ROP) results if these vessels continue their growth in an abnormal pattern, forming a ridge of tissue between the vascularized central retina and the nonvascularized peripheral retina. In severe ROP, these new vessels invade the vitreous. Sometimes the entire vasculature of the eye becomes engorged (“plus” disease).

Susceptibility to ROP correlates with the proportion of retina that remains avascular at birth. More than 80% of neonates weighing < 1 kg at birth develop ROP. The percentage is higher when many medical complications exist. Administration of excessive (especially prolonged) O2 increases the risk, but a safe level and duration of supplemental O2 have not been determined; however, supplemental O2 is often needed to adequately oxygenate the infant  (+ info)

Are premature babies who suffered Retinopathy of Prematurity and went blind have any chance of seeing?


Because of the state of medical technology in my country, doctors here are saying they can't do anything anymore will it be the same in other countries like in Europe or US?
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Possibly, depending on how long ago retinal detatchment occured. If the retina is detached, it must be reattached before sealing the retinal tear. There are three ways to repair retinal detachments. Pneumatic retinopexy involves injecting a special gas bubble into the eye that pushes on the retina to seal the tear. The scleral buckle procedure requires the fluid to be drained from under the retina before a flexible piece of silicone is sewn on the outer eye wall to give support to the tear while it heals. Vitrectomy surgery removes the vitreous gel from the eye, replacing it with a gas bubble, which is slowly replaced by the body's fluids.

It's also treatable befoe blindness occurs.Patients with early stages of ROP need observation; most of these eyes will return to normal development. If the disease progresses, treatment is considered. A multicenter research trial funded by the National Eye Institute showed that destroying the undeveloped retina with freezing treatments (cryotherapy) stopped the progression of the disease in about 50 percent of infants. This reduced the number of retinal detachments in severely affected eyes from about 50 to 25 percent.

Recently, laser has become the standard treatment to destroy the non-developed retina. It appears that laser treatment is at least as effective as the cryotherapy and has a lower rate of complication. However, despite treatment, a significant group of patients continue to worsen. These are the patients thatmay be helped with surgery for retinal detachment (scleral buckle or vitrectomy surgery).

Were any of these treatments provided?

Email or Im me, I'm interested to know more.  (+ info)

About Retinopathy of Prematurity (ROP) in babies?


My son was born with Retinopathy of Prematurity (ROP) at 30th week of pregenancy, in his 3rd month he totally recovered from that ,now he is 2 years 6 months old.

Now what my doubt is, will he be all right in his entire life or he will get any complications with his eye sight
please answer to my question
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I would normally expect any significant damage from ROP to be manifest by two years of age, but I would be incredibly cautious about putting that forward as a firm prognosis without an eye exam, looking for unusual blood vessels, appearance of the lens...

If there's no cataract, and the ROP was not sufficiently advanced as to leave a risk of glaucoma, (usually at the level that requires laser intervention) then routine eye checks are all that should be needed, with no marked extra level of concern.
He would still have all the *normal* risks and hazards of growing up!  (+ info)

which celebrities have retinopathy of prematurity?


Unfortunately, diabetic celebrities are pretty tight-lipped about their complications because of fear that it will affect their ability to get work. Mary Tyler Moore has apparently been blind in one eye for about 20 years, but has never discussed it to my knowledge. That's all I've heard...

I wish they would share that kind of thing because otherwise the rest of us feel like we're freaks if we experience complications...it would be nice to have some role models who show us they are living with it.  (+ info)

i want information on specialist doctors and hospitals treating retinopathy of prematurity all over the world?


What!!!!!!  (+ info)

can an eye patch help if you have Retinopathy of prematurity (ROP?


not at all..  (+ info)

retinopathy of prematurity?


daughter had surgery when she was a baby (successfully) she is now 11 can she have a reoccurance or other problems from it now?
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It depends on the degree of disease. If she had cryo or laser and the vessel growth stopped and no further progression occurred, she should be fine. But her eyes grew till she was about 8 or so. This can cause some 'stretching' and pull on the anterior portion of her retina.

If she had retinal traction and this moved her macula temporally, then that eye will appear to be looking to the side when she's looking straight ahead. SHE is looking straight, as the optics and the macula are lined up ok, but the eye is deviated to the outside to line that up.

That doesn't need repairing. Looks strange, but not really. I'd be more concerned with that peripheral retina pulling enough to cause a tear and later a detachment.

Would be a good idea to have a retina specialist keep an 'eye' on her at least yearly.

About a month or two ago, I saw a young lady with ROP who is about 25. She was hit with an elbow in her 'good' eye. In looking at her retina I found her to have a circular traction band and new bleeding from the trauma. This can cause increased traction as that heals so she was lasered behind the band to prevent a detachment should a tear develop. sure enough, about 10 days later, the retina developed a number of tears. The laser protected her from a detachment. No problems.

The point is, these eyes are already under some fibrotic traction one way or another if there is peripheral scarring. Have her followed by a retina specialist who will take the time to look carefully. Some just glance and say everything is ok. Others take more of an interest in the ' possibilities' and will try to prevent any future problems.

Just make sure she's seen every year or two.  (+ info)

Retinopathy of prematurity (ROP) in a toddler?


My daughter has been in glasses since she was just under 3 months old, she is now 4 years old. She weighed 1lb 8oz when she was born & found out that she has ROP when she was a newborn. She has had 3 different eye operations & I have been driving 2 hours for her eye doctor appointments, he is suppose to be the best around.

Today at her appointment he checked her eyes & he told me that he can't see her anymore & that he made an appointment for less than a week away for my daughter at some other dr. I asked why & he wouldn't answer. The new appointment is 6 hours away & in another state.

My quesitons- Why would he do this? Has he simpley became too attached to us- we have saw him A LOT & my daughter does hug him & thank him for checking her eyes (she's a lovey girl) Do you think he did not want to tell me something about her, I mean an appointment in less than a week THAT far away? Why did he do this?

& yes I know wait & see.. but its bothering me so I want ur ideas/opinions
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My guess is he feels your daughter needs more specialized care than he can provide- ROP can be tricky. Don't hesitate to call his office and ask to speak with a technician (it's easier than trying to talk to the dr and just as effective) and ask for a complete explination as to why you're being referred to a new dr. You'll have less anxiety and more knowledge when you see the specialist. Good luck!  (+ info)

What happens when you have Diabetic Retinopathy once lose alot of your vision and get it again?


My mother in law lost alot of her vision years ago from Diabetic Retinopathy now she has it again. Whats that mean is she gonna lose more vision. Is her diabetes out of control?
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