Dr. KOMAL AGARWAL

DR. SUBHADRA JALALI, DR.SUSHMA J, DR.TAPAS RANJAN PADHI

Abstract

Purpose:

To describe the clinical profile and treatment outcomes of infants with retinopathy of prematurity(ROP) presenting with exudative retinal detachment (ERD).

Methods:

Retrospective interventional case series. Preterm infants diagnosed with ROP with ERD at presentation were included. All clinical findings, treatment given were noted. Anatomical outcome was categorized as good, fair and poor. Refractive outcome was categorized into mild, moderate and severe.

Results:

15 eyes were included. All eyes presented with APROP with retinal edema in avascular area. 86.6% eyes had vascular sclerosis. 99.3% eyes had subretinal exudates. Anatomical outcome was good in all eyes. 40% eyes had mild refractive error.

Conclusion:

ERD in ROP is rare. Vascular sclerosis is consistent with hyperoxia induced retinopathy models. Retinal edema and subretinal exudates point towards disrupted inner and outer blood retinal barrier. Treatment outcomes are good when diagnosed and treated in time.