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Preterm baby with gestational age 28 weeks, birth weight 1200 grams and post menstrual age 32 weeks

13 September 2023
Aggressive Posterior Retinopathy of Prematurity (APROP) with vessels in Zone 1 showing extensive looping, shunting of vessels and areas of vitreous condensation and neovascularization.
Aggressive Posterior Retinopathy of Prematurity (APROP) with vessels in Zone 1 showing extensive looping, shunting of vessels and areas of vitreous condensation and neovascularization.
Courtesy of Dr. Akash Belenje, Vitreoretina Faculty, Anant Bajaj Retina Institute, Telengana, India & Mr. R. Ugandhar Reddy, Optometry Faculty, Anant Bajaj Retina Institute, Hyderabad, Telangana, India
Courtesy of Dr. Akash Belenje, Vitreoretina Faculty, Anant Bajaj Retina Institute, Telengana, India & Mr. R. Ugandhar Reddy, Optometry Faculty, Anant Bajaj Retina Institute, Hyderabad, Telangana, India

Right eye - Aggressive Posterior Retinopathy of Prematurity (APROP) with vessels in Zone 1 showing extensive looping, shunting of vessels and areas of vitreous condensation and neovascularization.

Courtesy of Dr. Akash Belenje, Vitreoretina Faculty, Anant Bajaj Retina Institute, Telengana, India & Mr. R. Ugandhar Reddy, Optometry Faculty, Anant Bajaj Retina Institute, Hyderabad, Telangana, India
Courtesy of Dr. Akash Belenje, Vitreoretina Faculty, Anant Bajaj Retina Institute, Telengana, India & Mr. R. Ugandhar Reddy, Optometry Faculty, Anant Bajaj Retina Institute, Hyderabad, Telangana, India

Left eye - Aggressive Posterior Retinopathy of Prematurity (APROP) with looping and shunting of vessels which looks less severe than right eye with absence of vitreous condensation and neovascular tufts.

Baby was advised intravitreal anti-VEGF (anti-Vascular Endothelial Growth Factor) injection in both the eyes on the same day. Post injection at 1-week follow-up reduced plus disease and decreased tortuosity of vessels. At 3-week follow-up the Anti-Vascular loops opened, and the vessels advanced to Zone 2.

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