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Retinopathy of Prematurity Linda MacKenna Ikuta, RN,MN,CCNS
The Eye
The Retina
Cut-away of the human eye showing its essential parts. ,[object Object]
The eye resembles a camera .The cornea and the crystalline lens act like a camera’s objective; they form an image on the retina, which is like the camera’s film. There the retina transforms the rays of light into nerve impulses that are carried by the optic nerve to the brain. It is in the brain that "seeing" occurs.
Definition ,[object Object],[object Object],[object Object],[object Object],[object Object]
Definition ,[object Object],[object Object],[object Object],[object Object]
Etiology ,[object Object],[object Object]
Incidence ,[object Object],[object Object],[object Object]
The Cause ,[object Object],[object Object],[object Object]
The Cause ,[object Object],[object Object]
The Cause ,[object Object],[object Object],[object Object]
Classification ,[object Object],[object Object],[object Object]
International Classification System for ROP (ICROP) ,[object Object],[object Object],[object Object]
Pediatrics  2006 Feb; 117:572-6. Timing of Eye Exam
Who Gets ROP Screen? Pediatrics  2006 Feb; 117:572-6.
ICROP
Classification System
Stage 1 ROP ,[object Object],[object Object]
Stage 2 ROP ,[object Object],[object Object],[object Object]
Stage 3 ROP ,[object Object],[object Object]
Stage 3 ROP ,[object Object]
Stage 3 ROP
Plus Disease ,[object Object]
Plus Disease
Stage 4-5 ROP ,[object Object],[object Object]
Stage 4-5 ROP
Surgical Procedures ,[object Object],[object Object],[object Object],[object Object]
Non-Surgical Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object]
Prognosis ,[object Object],[object Object],[object Object],[object Object]
RetCam ,[object Object],[object Object],[object Object]
 
RetCam Exam ,[object Object]
Dr Moshfeghi Reviewing RetCam ,[object Object]
Images generated by the RetCam II ,[object Object]
SUNDROP  ,[object Object]
 
Coupling Gel
Alfonso Barraquer Sauer
 
 
Immature retina Retinal vessels taper
Stage 1:  Demarcation Line Separates vascular from avascular retina
Stage 2:  Ridge Ridge occupies volume
Stage 3:  Ridge + Epiretinal Fibrovascular Proliferation Arborization of vessels into EFP lesion
avascular retina shunt vessel zone 1 zone 2 Aggressive Posterior ROP (AP-ROP)
regressed stage 3 Treated ROP with severe macular dragging
Lens sutures
 

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Retinopathy Of Prematurity