A preterm baby with gestational age 32 weeks, birth weight 1500 grams and post menstrual age 37 weeks
Both eyes Aggressive Posterior Retinopathy of Prematurity (APROP) with tortuous and dilated vessels in Zone 1 with extensive looping and shunting of vessels with areas of neovascularization. The macula is still not completely vascularized in both eyes and there is extensive avascular areas in both eyes. However, the severity of the disease is comparable in both the eyes.
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 with decreasing tortuosity of vessels.