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A strange case of retinopathy of prematurity

Session Details

Session Title: Quick Fire Free Paper Session 02

Session Date/Time: Thursday 26/09/2013 | 14:30-16:00

Paper Time: 14:30

Venue: Hall G1 (Level 2)

First Author: G.Catena ITALY

Co Author(s):    S. Petroni   L. Buzzonetti           

Abstract Details

Purpose:

Authors present their management of an ischemic rethinopaty occurred in a new born baby of 34 weeks of postmenstrual age (2000g) thas was observed in a visit performed at 20 days of age. His mother's blood group was 0rh- and the baby was Arh+. The baby suffered from a severe hemolysis which determined an ischemic retinopathy with features similar to acute posterior retinopathy of preborn (AP-ROP)

Setting:

Pediatric hospital Bambino Gesù Roma Italy

Methods:

The patient aged 20 days underwent an ophthalmological visit: diagnosis of retinopathy ROPlike was done. The day after the baby underwent examination under general anaesthesia where FAG,OCT,RETCAM were performed. These showed the evidence of bilateral extensive non perfused periferic retina together with extra retinal neovascolarization starting from the flat ridge. Even a bilateral maculae edema was found. These clinical features led to perform a diode laser treatment of the ischemic areas. No anti VEGF was used. The patient underwent a new examination under narcosis after 45 days

Results:

The patient undervent treatment immediately after the ophthalmological visit. Appropriated instrumental diagnosis and imaging took place one day after and laser was performed. FAG-OCT made after 45 days proved to be effective even without the use of intravitreal anti VEGF. FAG showed the ischemic periferic retina completely ablated and OCT demonstrated a regression of macular edema

Conclusions:

Pseudo ROP in not severe preborn babies with hemolysis from RH factor is a very rare event that most be kept on mind when performing an ophtalmological visit. The diagnosis and immediate treatment proved to be effective in avoiding the progression of the proliferative disease that could led to retinal detachment

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