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Retinopathy of Prematurity (ROP)

Retinopathy of Prematurity (ROP). Melissa Andrews BME 281 Sec 2. What is ROP?. Affects the retinal blood vessels of premature babies Retina forms early in development but blood supply does not Affects 500 to 700 babies in U.S each year The more premature the higher the risk. High Risk

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Retinopathy of Prematurity (ROP)

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  1. Retinopathy of Prematurity (ROP) Melissa Andrews BME 281 Sec 2

  2. What is ROP? • Affects the retinal blood vessels of premature babies • Retina forms early in development but blood supply does not • Affects 500 to 700 babies in U.S each year • The more premature the higher the risk • High Risk • <32 weeks • <3 pounds

  3. Exams • High-risk infants should have retinal exams • Depending on gestational age first exam usually 4 - 9 weeks after birth • Babies 27 weeks or later have their exam at 4 weeks of age • Follow-up exams

  4. Optical Coherence Tomography (OCT) • Noninvasive • Usually forms 2-D images • 3-D pictures can be formed

  5. Spectral Domain Optical Coherence Tomography (SD OCT) • Duke University Medical Center • Hand held • Narrow beam of broadband light sources • 3-D scanned image • 40 times faster than previous OCT • Faster = less time spent to diagnosis and faster recognition of ROP • Baby can remain in incubator during procedure

  6. Treatments • Treatment should start within 72 hours of the eye exam • “Plus disease” babies need immediate treatment • Cryotherapy (freezing) • Laser therapy • Surgery is needed if the retina detaches • Plus Disease

  7. References • New Device To Detect Blindness In Babies | Biomedical Engineering News." Biomedical Engineering & Biotechnology News & Events. 16 Aug. 2010. Web. 03 Oct. 2011. <http://www.biomedicalblog.com/new-device-to-detect-blindness-in-babies/22000/>. • Retinopathy of Prematurity: MedlinePlus Medical Encyclopedia." National Library of Medicine - National Institutes of Health. 4 May 2011. Web. 03 Oct. 2011. <http://www.nlm.nih.gov/medlineplus/ency/article/001618.htm> • « Pediatric Ophthalmology Video (Ophthobook.com)." « The Free Online Ophthalmology Book! (Ophthobook.com). Web. 03 Oct. 2011. <http://www.ophthobook.com/videos/pediatric-ophthalmology-video>. • Retinopathy of Prematurity - Symptoms, Diagnosis, Treatment of Retinopathy of Prematurity - NY Times Health Information." Health News - The New York Times. Web. 03 Oct. 2011. <http://health.nytimes.com/health/guides/disease/retinopathy-of-prematurity/overview.html>. • Huang, D., E. Swanson, C. Lin, J. Schuman, W. Stinson, W. Chang, M. Hee, T. Flotte, K. Gregory, C. Puliafito, and Al. Et. "Optical Coherence Tomography." Science254.5035 (1991): 1178-181. Print. • "Retinopathy of Prematurity." Wikipedia, the Free Encyclopedia. Web. 5 Oct. 2011. <http://en.wikipedia.org/wiki/Retinopathy_of_prematurity>. • "ROP: Retinopathy of Prematurity Treatment." Get EyeSmart - Eye Health Information for the Public from the American Academy of Ophthalmology. Web. 6 Oct. 2011. <http://www.geteyesmart.org/eyesmart/diseases/retinopathy-prematurity-treatment.cfm>. • All Pictures are from Google imagines –for the purpose of education in this presentation

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