Precocity retinopathy (ROP)
The precocity retinopathy (ROP), earlier known as retrolental a fibroplasia (RLF), is illness of an eye which damages prematurely born children. It as think, causes unorganized growth setchatochnyh the blood vessels which are coming to an end with a cicatrization and amotio of a retina. ROP can be soft and can solve spontaneously, but can lead to blindness in serious cases. Oxygen toxicity can promote development ROP.
The diagnosis
Examination of a retina of the premature baby using a return ophthalmoscopy, shows, that setchatochnye blood vessels did not reach mouths serrata and instead show an illness stage as is spotted according to the International Classification of the Retinopathy of the Precocity (ICROP). In the senior patients illness occurrence is less well featured, but includes the residual phenomenon of stages ICROP just as secondary setchatochnyh responses.
The most difficult aspect of the differential diagnosis can grow out of simularity of two other illnesses:
- Exudative Vitreoretinopathy Familal which is genetic disturbance which also blasts setchatochnuju vascularization in babies of the full term.
- The proof Embryonal Vascular Syndrome also known as Proof Hyperplastic Primary Vitreous which can cause traction amotio of a retina, difficult to be differentiated, but typically unilateral.
The control
To allow a timely intervention, the monitoring system is undertaken for babies because of danger of development ROP. These reports of the control differ geographically because definition hazardous is not a uniform or perfectly spotted. In the USA the statement of the consent of experts is informed by the data gained by clinical trials, and has published in Pediatrics 2006. They included babies with birthweights under 1500 gms or under 28 (32 prestress while I do not refer to new guides), pregnancy of weeks in most cases.
Treatment
Peripheric Setchatochnaja Ablation - a bottom of treatment ROP. The destruction avaskuljarnoj retinas is carried out with treatment by a cold or a laser photocoagulation.
Skleralnuju and-or Vitrektomii it is possible to consider surgery of the Fastener for serious ROP for eyes as that advance to retina amotio.
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