RT - Journal TY - JOUR A1 - Jalali, Subhadra A1 - Azad, Rajvardhan A1 - Trehan, Hemant A1 - Dogra, Mangat A1 - Gopal, Lingam A1 - Narendran, Venkatapathy T1 - Technical aspects of laser treatment for acute retinopathy of prematurity under topical anesthesia YR - 2010/12/1 JF - Indian Journal of Ophthalmology JO - Indian J Ophthalmol SP - 509 OP - 515 VO - 58 IS - 6 UL - https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2010;volume=58;issue=6;spage=509;epage=515;aulast=Jalali;t=5 DO - 10.4103/0301-4738.71689 N2 - 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. ER -