Retinopathy of prematurity, stage 4 digital illustration

Retinopathy of prematurity, stage 4 Save


ICD-10 code: H35.15

Chapter: Diseases of the eye and adnexia

Retinopathy of prematurity, stage 4

Retinopathy of prematurity, or ROP, is a condition that affects the eyes of premature infants. It is caused by abnormal blood vessel growth in the retina, which can lead to scarring and detachment of the retina if left untreated. ROP is classified into five stages, with stage 4 being one of the most severe.

Stage 4 ROP is characterized by a partial retinal detachment. The macula, which is responsible for central vision, may also be affected. This can lead to a significant loss of vision or even blindness in the affected eye.

There are several treatment options available for stage 4 ROP, including laser therapy, cryotherapy, and surgery. The goal of treatment is to prevent further retinal detachment and preserve as much vision as possible.

  1. Laser therapy: This involves using a laser to create scars around the edges of the detached retina. The scars help to hold the retina in place and prevent further detachment.
  2. Cryotherapy: This involves using a freezing probe to create scars around the edges of the detached retina. Like laser therapy, the scars help to hold the retina in place and prevent further detachment.
  3. Surgery: In some cases, surgery may be necessary to reattach the retina. This involves placing a small bubble of gas or oil inside the eye to push the retina back into place. The bubble will gradually dissolve or be removed by a doctor.

If your child has been diagnosed with stage 4 ROP, it is important to seek treatment as soon as possible. Early intervention can help to prevent further vision loss and improve the overall prognosis.

Regular eye exams are also important for premature infants who are at risk for ROP. These exams can help to detect the condition early and allow for prompt treatment if necessary.

Overall, stage 4 ROP is a serious condition that requires prompt treatment. With the right care, however, many children with stage 4 ROP are able to preserve their vision and lead healthy, happy lives.