A preterm baby with gestational age 28 weeks, birth weight 1400 grams and post menstrual age 34 weeks

Both eyes Hybrid plus Retinopathy of Prematurity (ROP) with tortuous and dilated vessels at the border of Zone 1 and Zone 2 posterior with areas of ridge and temporal tufts of neovascularization fronds.

Left eye in addition shows temporal extensive avascular retina.
Baby was advised intravitreal anti-VEGF (anti-Vascular Endothelial Growth Factor) injection in both the eyes on the same day. Post injection follow up at 1-week showed reduced plus disease, decreasing tortuosity of vessels and reducing neovascular fronds.