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OPHTHALMOLOGY PRACTICE
Year : 2010  |  Volume : 58  |  Issue : 6  |  Page : 509-515

Technical aspects of laser treatment for acute retinopathy of prematurity under topical anesthesia


1 Smt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, L V Prasad Eye Institute, Hyderabad, India
2 Dr. RP Centre for Ophthalmic Sciences, AIIMS, New Delhi, India
3 Smt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, L V Prasad Eye Institute, Hyderabad; Army Medical Corps, Chandigarh, India
4 Department of Ophthalmology, PGIMER, Chandigarh, India
5 Department of Ophthalmology, Sankara Nethralaya, Chennai, India
6 Department of Ophthalmology, Aravind Eye Hospital, Coimbatore, India

Correspondence Address:
Subhadra Jalali
Smt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, Kallam Anji Reddy Campus, L V Prasad Eye Institute, L V Prasad Marg, Banjara Hills, Hyderabad-500 034
India
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Source of Support: Hyderabad Eye Research Foundation, Conflict of Interest: None


DOI: 10.4103/0301-4738.71689

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Retinopathy of prematurity (ROP) is a significant cause of childhood blindness. The criteria for laser therapy have been revised from threshold ROP to include the earlier stage of high-risk prethreshold ROP. Laser photocoagulation is an established technique for the treatment of ROP. However, the detailed procedure and techniques for laser photocoagulation have not yet been published. Adequate and appropriate laser photocoagulation for ROP is different from the application of lasers in adult retinal vascular diseases, and many ophthalmologists need to be trained in this technique if the outreach of ROP treatment programs is to improve. Laser under topical anesthesia has been practiced in India as a preferred modality especially due to logistics and risks of general anesthesia in these pre-term babies. We discuss the details of the technique as practiced at tertiary care ophthalmic hospitals in India, so that the nuances in treatment parameters and clinical decision-making can be usefully applied to ophthalmic practice. This will ultimately lead to safe and effective treatment delivery in ROP.


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