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Retinopathy of Prematurity, Pediatric

Michael X. Repka, MD, MBA Reviewed 10/2018
 


BASICS

DESCRIPTION

Retinopathy of prematurity (ROP) is an abnormal pattern of retinal vascularization of preterm infants leading in some cases to permanent visual loss and blindness as well as many oth...

DIAGNOSIS

HISTORY

  • All infants with birth weight <1,500 g or gestational age <30 weeks are at risk.

  • Other children with significant oxygen exposure are also referred for retinal evaluations.

  • Each nu...

TREATMENT

MEDICATION

  • Oxygen restriction: Restriction of oxygen to 85–89% saturation (measured by pulse oximetry) was associated with a reduction in the risk of severe ROP but was associated with an inc...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

  • Infants with treated ROP and more severe stages of ROP without treatment typically require lifelong ophthalmologic monitoring.

    • Substantially increased risk for the...

ADDITIONAL READING

  • Carlo WA, Finer NN, Walsh MC, et al; and SUPPORT Study Group of the Eunice Kennedy Shriver National Institute of Child Health, Human Development Neonatal Research Network. Target ra...

CODES

ICD9

  • 362.20 Retinopathy of prematurity, unspecified

  • 362.22 Retinopathy of prematurity, stage 0

  • 362.23 Retinopathy of prematurity, stage 1

  • 362.24 Retinopathy of prematurity, stage 2

  • 362.25 Retinopathy...

FAQ

  • Q: Does intrauterine growth retardation (IUGR) affect the chance for development of ROP?

  • A: The chance for development of ROP in an IUGR infant is related more to the baby’s postmenstrual birth age...

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