A preterm baby with gestational age 32 weeks, birth weight 1600 grams and post menstrual age 36 weeks
Both eyes show a very angry looking Aggressive posterior ROP with significant looping and shunting of vessels with preretinal hemorrhages and plastered fibrin. The macula in both eyes is not yet completely vascularized.
Baby was advised intravitreal anti-VEGF (anti-Vascular Endothelial Growth Factor) injection in both the eyes on the same day. Both eyes 1-week status post anti-VEGF injection showing reduced plus and tortuosity of vessels. But the preretinal hemorrhages are persisting in both the eyes.