Retinopathy of Prematurity Dr. V.K. Raju and Dr. Y. Srinivas Reddy - - PowerPoint PPT Presentation

retinopathy of prematurity
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Retinopathy of Prematurity Dr. V.K. Raju and Dr. Y. Srinivas Reddy - - PowerPoint PPT Presentation

Retinopathy of Prematurity Dr. V.K. Raju and Dr. Y. Srinivas Reddy ROP- Introduction Premature babies Immature retinal blood vessels Incidence of ROP is increasing in India due to improved neonatal survival 3.5 million infants are


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Retinopathy of Prematurity

  • Dr. V.K. Raju and Dr. Y. Srinivas Reddy
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ROP- Introduction

  • Premature babies
  • Immature retinal blood vessels
  • Incidence of ROP is increasing in India due to improved neonatal survival
  • 3.5 million infants are born premature in India annually
  • ROP is leading cause of preventable infant blindness in India
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ROP- Indian scenario

✓ 27 million live births ✓ 9% are born < 2000 g ✓ Lack of quality and standardized neonatal care ✓Fewer trained ROP specialists confined to urban areas and tertiary hospitals ✓ Majority of population in rural areas

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Normal Retinal Vascular Development

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RISK FACTORS

  • Prematurity
  • Birth weight
  • Oxygen supplementation
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Babies Need Screened:

Birth weight < 1700 g

  • Gestational age at birth < 34–35 weeks
  • Exposed to oxygen > 30 days
  • Infants born at < 28 weeks
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What happens if the babies are not screened in time?

Abnormal vascular development progresses through various stages to retinal detachment, leading to irreversible blindness.

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ROP Screening

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ROP Screening – Our Initiative

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ROP Screening by trained technicians - Telemedicine Approach

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Tele-screening increases outreach to more babies, especially in remote areas

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Counseling mother & relatives about ROP

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ROP Treatment - LASER

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ROP Treatment - Injections

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Telemedicine ROP – Our Progress

  • Babies screened from 2015 through 2018 – 2,181
  • Number of babies requiring treatment - 158
  • 102 babies treated with laser alone
  • 25 babies treated with injections only
  • 32 babies received combined treatment
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OUR GOAL

This child attended the Goutami Institute last week. She was treated 10 months ago for ROP.

No child should lose vision due to lack of ROP screening.

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If screenings are not performed, the consequences could be disastrous

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Thank You

“There can be no keener revelation of a society's soul than the way in which it treats its children” – Nelson Mandela “Children are our most valuable natural resource”- Herbert Hoover

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Recent NY Times Article: A Simple Way to Improve a Billion Lives (some estimate 2.5 billion)

12 year old Kumar moved to the front of the class room. Progressive blurred vision forced him to give up flying kites and playing cricket. “Sometimes I don’t see a motor bike until it’s almost in my face.”

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There are tens of millions of children just like Kumar across the world whose families cannot afford an eye exam or glasses to help them excel in school.

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Corneal Transplants at age 2 Doctorate in Pharmacy from Rutgers University CEO of a multi-million dollar retail pharmacy company.

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Our Dream: Green Eye Institute (2m-4m-4m)

  • Outreach and Research
  • Cantilever Drive-Through
  • Vertical Structure
  • Core Opening for Staying Cool with Minimal Air Conditioning