Retinopathy of prematurity (1)
in premature babies peripheral retina is not vascularised at birth Under certain conditions instead of the vascularisation proceeding normally, there is a growth of new vessels and scarring 100% oxygen, crucial period 28-36weeks, especially low birth weightwww.nyee.edu/images/ar038.jpg
Retinopathy of prematurity (2)
vascularisationwww.nyee.edu/images/ar038.jpg
Scarring
Laser peripheral retina
Without laser,retinal detachment/blindness; have to check (screen) all appropriate neonates
www.nei.nih.gov
Retinopathy of prematurity (3)
www.aafp.org/afp/990901ap/907.htmlLeukocoria (1) = white pupil
Have to check red reflex of all neonates & children Retinoblastoma congenital cataract PHPV (persistent hyperplasia of primary vitreous) Retina detachment (trauma/ retinopathy of prematurity) Toxocariasis (nematode infection) from exposure to puppies Uveitis, infections, other conditionswww.occhioallaretina.it/Immagini/leucocoria.JPG
http://oftalmologo.bravepages.com/Leucocoria%201.jpg
Leukocoria (2)Examination of neonates (2): ophthalmic neonatorum
Discharge in first week of life will be gonococcal or chlamydial conjunctivitis. Gonococcal infection can cause serious corneal damagewww.kfunigraz.ac.at
Examination of neonates (3): ophthalmic neonatorumarapaho.nsuok.edu/~fulk/ Images/Img0055.JPG
Examination of neonates (4) buphthalmosSquints (1)
EsotropiaExotropia(vertical)Correct refractive error & patch good eye to treat amblyopiaonline (section 12, double vision and pupil, 3rd ‘?’ left) Folder similar www.aafp.org/afp/990901ap/907.htmlExotropia: divergent
Esotropia: convergent
Squints (2)
Exotropia See video if online http://www.mrcophth.com/vidoes.htmlwww.aafp.org/afp/990901ap/907.html