retinopathy of prematurity?
daughter had surgery when she was a baby (successfully) she is now 11 can she have a reoccurance or other problems from it now?
It depends on the degree of disease. If she had cryo or laser and the vessel growth stopped and no further progression occurred, she should be fine. But her eyes grew till she was about 8 or so. This can cause some ’stretching’ and pull on the anterior portion of her retina.
If she had retinal traction and this moved her macula temporally, then that eye will appear to be looking to the side when she’s looking straight ahead. SHE is looking straight, as the optics and the macula are lined up ok, but the eye is deviated to the outside to line that up.
That doesn’t need repairing. Looks strange, but not really. I’d be more concerned with that peripheral retina pulling enough to cause a tear and later a detachment.
Would be a good idea to have a retina specialist keep an ‘eye’ on her at least yearly.
About a month or two ago, I saw a young lady with ROP who is about 25. She was hit with an elbow in her ‘good’ eye. In looking at her retina I found her to have a circular traction band and new bleeding from the trauma. This can cause increased traction as that heals so she was lasered behind the band to prevent a detachment should a tear develop. sure enough, about 10 days later, the retina developed a number of tears. The laser protected her from a detachment. No problems.
The point is, these eyes are already under some fibrotic traction one way or another if there is peripheral scarring. Have her followed by a retina specialist who will take the time to look carefully. Some just glance and say everything is ok. Others take more of an interest in the ‘ possibilities’ and will try to prevent any future problems.
Just make sure she’s seen every year or two.
One hates to be absolute because, sooner or later, there’s an exception.
But basically, if retinopathy of prematurity has been survived successfully, there are no additional problems of future risks beyond which eyes normally face, and no precautions necessary beyond the routine eye exams recommended for all.
It’s not a recurrent problem and if no retinal detachment or other difficulty has developed by now, such is now no more likely to crop up with your daughter than with anyone else.
References :
It depends on the degree of disease. If she had cryo or laser and the vessel growth stopped and no further progression occurred, she should be fine. But her eyes grew till she was about 8 or so. This can cause some ’stretching’ and pull on the anterior portion of her retina.
If she had retinal traction and this moved her macula temporally, then that eye will appear to be looking to the side when she’s looking straight ahead. SHE is looking straight, as the optics and the macula are lined up ok, but the eye is deviated to the outside to line that up.
That doesn’t need repairing. Looks strange, but not really. I’d be more concerned with that peripheral retina pulling enough to cause a tear and later a detachment.
Would be a good idea to have a retina specialist keep an ‘eye’ on her at least yearly.
About a month or two ago, I saw a young lady with ROP who is about 25. She was hit with an elbow in her ‘good’ eye. In looking at her retina I found her to have a circular traction band and new bleeding from the trauma. This can cause increased traction as that heals so she was lasered behind the band to prevent a detachment should a tear develop. sure enough, about 10 days later, the retina developed a number of tears. The laser protected her from a detachment. No problems.
The point is, these eyes are already under some fibrotic traction one way or another if there is peripheral scarring. Have her followed by a retina specialist who will take the time to look carefully. Some just glance and say everything is ok. Others take more of an interest in the ‘ possibilities’ and will try to prevent any future problems.
Just make sure she’s seen every year or two.
References :