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Ophthalmology Clinic
Retinopathy of prematurity

  

 

Retinopathy of prematurity (ROP), a potentially blinding condition, affects many premature infants who are born weighing less than 1,500 grams. Today, ROP is second-leading cause of vision loss and blindness in children of developed countries.

Retinopathy of prematurity occurs when blood vessels that normally would develop in the womb begin to grow in the wrong places in the eye after premature delivery. Early examination by an ophthalmologist is necessary to catch ROP and treat it in its early stages. At Texas Children's, ophthalmologists examine premature babies for ROP at five weeks after birth.

Ophthalmologists at Texas Children's Hospital are currently participating in a study on the early treatment of retinopathy of prematurity.

ROP regresses spontaneously in most infants and approximately 600 children per year have permanent vision damage due to the condition.

In a study conducted by Dr. David Coats and Dr. Evelyn Paysee of Texas Children's Hospital, 100% of infants born weighing 500 to 900 grams and less than 25 weeks of gestation developed retinopathy of maturity. The disease spontaneously improved in nearly 60% of those children. The remaining 40% developed more advanced stages of ROP.

Premature babies who are born at 26 weeks or greater are progressively less likely to develop the more severe stages of retinopathy of prematurity.

As ROP progresses, certain eye problems are more likely to occur, such as detached retina, cataract, glaucoma, strabismus (wandering eye), amblyopia (lazy eye), and myopia (nearsightedness). Routine ophthalmologic exams are strongly recommended throughout life since vision loss and blindness are more common in adults who had ROP as a child.

Read about one family's experience with the Texas Children's Newborn Center and ophthalmology treatment.

 
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