What is retinopathy of prematurity?

Retinopathy of Prematurity

Retinopathy of prematurity (ROP) in children: Overview

Retinopathy of prematurity (ROP) is an eye problem that can affect babies who are born early (premature). It is common in babies born at or before 30 weeks. It's also common in babies who weigh less than 3.3 lbs.

After premature birth, the retina keeps forming. Sometimes, abnormal blood vessels grow around the edges. In severe cases, the retina detaches from the eye.

Most of the time, the eye heals itself. In that case, the baby doesn't need treatment. If the problem is more severe, the doctor may do surgery or may inject medicine into the eye.

Retinopathy of prematurity (ROP)

Retinopathy of prematurity (ROP) is a problem affecting the eyes of premature babies, especially those born at or before 30 weeks' gestation or weighing less than 1500 g (3.3 lb) . As the immature retina continues to develop after premature birth, abnormal blood vessels can grow around its edges; in severe cases, the retina detaches from the eye.

Premature babies often require extra oxygen after birth. Too much oxygen can make ROP worse, so oxygen therapy is carefully given.

ROP can be mild and may heal on its own. Mild ROP may cause strabismus (misaligned eyes), nearsightedness, or both. In more severe cases, the doctor may do surgery or may inject medicine into the eye to try to save all or part of the baby's vision.

Babies who have ROP or who are at risk for ROP need to be checked frequently by an eye specialist (ophthalmologist).

What happens after treatment for retinopathy of prematurity (ROP)?

Even after treatment, your baby will need regular checkups with an eye doctor. This is because your baby is more likely to have other eye problems in the future.

How is retinopathy of prematurity (ROP) treated?

If your baby's ROP is mild, it may not need treatment.

If your baby's ROP is more severe, your doctor may talk to you about surgery.

Two types of surgery are often used for ROP. Laser therapy burns the tissue on the side of the retina. Cryotherapy freezes it. Either treatment may destroy some side vision. These surgeries reduce the chance that your baby's retina will pull away from the back of the eye and detach.

Your doctor may also discuss the pros and cons of your baby getting a shot of medicine in the eye.

If the retina has pulled away from the back of the eye (detached), your baby may need another kind of surgery. Surgery can help keep as much vision as possible. And it may help prevent blindness.

Retinopathy of prematurity (ROP): Overview

Retinopathy of prematurity (ROP) is an eye problem that can affect babies who are born early (premature). It is common in babies born at or before 30 weeks. And it is common in babies under 3.3 lbs.

The nerve layer at the back of the eye (retina) plays a vital role in vision. After a premature baby is born, the retina may continue to develop. Sometimes abnormal blood vessels grow around the edges of the retina. These vessels may cause damage to the retina.

Most cases of ROP are mild, and the eye heals itself. In more severe cases, the retina detaches from the back of the eye. That may lead to vision loss. The doctor may suggest surgery or an injection of medicine into the eye to try to save all or part of the baby's vision.

You may not have noticed anything wrong with your baby's eyes. Your baby's doctor may discover the problem while your baby is in the hospital. Or it may be found a few weeks after birth. Once it's known that your baby has ROP, you and the eye doctor will talk about next steps for your baby's care.

How can you care for your baby's retinopathy of prematurity (ROP)?

  • Take your child to all of their doctor appointments. This is very important. Babies with ROP are more likely to have other eye problems in the future.

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