ROP Pediatría

Como se le conocía anteriormente a la ROP?

(a)  

Dibuja las zonas de la retina del prematuro para ROP segun la ICROP3 (coloca el numero de la zona)

Con la lupa de (a)   se puede definir zona 1, si poner la orilla en el disco óptico.

• 28 D
• 78 D
• 20 D
• Wide field
• Mainster
• ROP plus super duper

Clasifica el grado de ROP...

• Estadio 4A y 4B

• 
• Estadio 2

• 
• Estadio 3

• 
• Estadio 1

• 

Menciona 4 secuelas de ROP

Answer explanation

Desprendimiento traccional, regmatogeno , retinosquisis, adelgazamiento retiniano, agujeros, aumento de zona avascular, dragging, hemorragia vitrea, glaucoma, miopia ,

Que tipo de ROP es esto y que manejo necesita?

• A-ROP, necesita anti A urgente y valoraciones recurrentes.

• A-ROP + DRT, necesita Anti A y Laser periferico

• A-ROP + estadio 5a, necesita vitrectomia + silicon + laser

• ROP + Pre plus, necesita evaluarse en 48 h y decidir tratamiento

Menciona los diferenciales de ROP solo por clínica...

Answer explanation

• Familial Exudative Vitreoretinopathy (FEVR) - a genetic disorder that appears similar to ROP but occurs in full-term infants. It may present early within the first week of life also.^[43] Examination of family members is very important. Genetic counseling and testing can be helpful to identify gene variants in about 50% of patients.

• Persistent Fetal Vasculature (PFV) - a cause of tractional retinal detachment which may be difficult to differentiate but is typically unilateral and does not have a correlation to prematurity.

• Incontinentia pigmenti – a genetic syndrome associated with dermatologic, central nervous system (CNS), and dental abnormalities. When noted, retinal abnormalities often include avascularity, neovascularization, and exudative and tractional retinal detachments.

• Coats’ disease – a sporadic X-linked condition which may lead to total exudative retinal detachment. Often unilateral and found in males.^[44]

• Cutis marmorata telangiectatica congenita (CMTC) – a rare capillary malformation with skin and CNS manifestations. When present, ocular findings include peripheral retinal neovascularization and glaucoma but the most common anomaly is body asymmetry^[45][46][47]

• Norrie disease – a rare X-linked recessive disorder with fibrovascular changes that appears similar to ROP but also associated with progressive hearing loss. Ocular findings, which include microophthalmia, are typically bilateral and symmetric. The disease appears at birth and progresses throughout infancy.