Optical coherence tomography in the management of acute retinopathy of prematurity

Optical coherence tomography in the management of acute retinopathy of prematurity.




Patel CK

Am J Ophthalmol 2006; 141:582-4.

Abstract
PURPOSE: To demonstrate the microscopic changes, in vivo, accompanying stage 4 retinopathy of prematurity. DESIGN: Interventional case study. METHODS: Optical coherence tomography (OCT) of the macula was performed in a baby with presumed stage 4a retinopathy of prematurity (retinopathy of prematurity). The findings were correlated with clinical staging and video indirect ophthalmoscopy. RESULTS: OCT changed the staging of retinopathy of prematurity from 4a to 4b, demonstrated intraretinal edema, and objectively confirmed the clinical impression of disease progression. CONCLUSIONS: OCT could be valuable as a new strategy in the staging and surgical management of retinopathy of prematurity.

MeSH
Acute Disease; Disease Progression; Female; Gestational Age; Humans; Infant, Newborn; Infant, Very Low Birth Weight; Laser Surgery; Ophthalmoscopy; Retina; Retinopathy of Prematurity; Tomography, Optical Coherence

Author Address
Oxford Eye Hospital, Radcliffe Infirmary, Woodstock Road, Oxford OX2 6HE, United Kingdom. ckpatel@btinternet.com

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