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  • Retinopathy of Prematurity (Rop)

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    ArinYuniastikaEkaPutri
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    Retinopathy of prematurity (ROP) is a retinal vascular disorder that can occur in premature infants, especially those born weighing less than 1000 grams. Risk factors include prematurity, low birth weight, and excessive oxygen exposure. The disorder results from the interrupted development of retinal blood vessels. It progresses through stages from flat neovascularization to elevated fibrovascular proliferation and retinal detachment if left untreated. Treatment options include cryotherapy and laser therapy to promote vascularization and prevent retinal detachment in severe cases. Complications may include myopia, strabismus, amblyopia, cataracts, and glaucoma.

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    5. Retinopathy of Prematurity (Rop)

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    Retinopathy of prematurity (ROP) is a retinal vascular disorder that can occur in premature infants, especially those born weighing less than 1000 grams. Risk factors include prematurity, low birth weight, and excessive oxygen exposure. The disorder results from the interrupted development of retinal blood vessels. It progresses through stages from flat neovascularization to elevated fibrovascular proliferation and retinal detachment if left untreated. Treatment options include cryotherapy and laser therapy to promote vascularization and prevent retinal detachment in severe cases. Complications may include myopia, strabismus, amblyopia, cataracts, and glaucoma.

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    37 views21 pages

    Retinopathy of Prematurity (Rop)

    Uploaded by

    ArinYuniastikaEkaPutri
    Retinopathy of prematurity (ROP) is a retinal vascular disorder that can occur in premature infants, especially those born weighing less than 1000 grams. Risk factors include prematurity, low birth weight, and excessive oxygen exposure. The disorder results from the interrupted development of retinal blood vessels. It progresses through stages from flat neovascularization to elevated fibrovascular proliferation and retinal detachment if left untreated. Treatment options include cryotherapy and laser therapy to promote vascularization and prevent retinal detachment in severe cases. Complications may include myopia, strabismus, amblyopia, cataracts, and glaucoma.

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    of 21

    RETINOPATHY OF

    PREMATURITY (ROP)
    ROCHASIH MUDJAJANTI
    DEFINISI
    • DULU DIKENAL SEBAGAI
    RETROLENTAL FIBROPLASI
    • RETINOPATI PROLIFERATIF PADA BAYI
    BBLR DAN PREMATUR
    EPIDEMIOLOGI
    • JARANG
    • BBLR <1000 GR – RISIKO TINGGI
    ETIOLOGI
    • PREMATUR
    • BBLR
    • PAPARAN OKSIGEN KONSENTRASI
    TINGGI & BERLEBIHAN –
    BERHENTINYA PERKEMBANGN
    VASKULER, OBLITERASI KAPILER
    BARU, PEMBENTUKAN
    ARTERIOVENOUS SHUNT MAYOR
    PATHOGENESIS AND STAGING
    • VASKULARISASI RETINA NORMAL :
    OPTIC DISC KE PERIFER KOMPLIT
    PADA KUADRAN NASAL ± 36 MG
    GESTASI, KUADRAN TEMPORAL ± 40
    MG GESTASI.
    VASKULARISASI RETINA PERIFER
    KLASIFIKASI DAN TERMINOLOGI

    ZONA I : LINGKARAN 2 X RADIUS OPTIC


    DISC – FOVEOLA
    ZONA II : LINGKARAN DG PUSAT OPTIC
    DISC, RADIUS OPTIC DISC – ORA
    SERRATA NASAL
    ZONA III : SISA FUNDUS DI LUAR ZONA I
    & II, PROGNOSIS BAIK
    DERAJAT ROP SESUAI LOKASI
    KLASIFIKASI DAN TERMINOLOGI

    • ROP STAGE 1 : SHUNT FLAT


    • ROP STAGE 2 : MESENCHYMAL RIDGE
    ELEVATED
    • ROP STAGE 3 : NEOVASKULARISASI
    (EXTRA RETINAL
    NEOVASCULARIZATION) DG
    PEMBENTUKAN PEMBULUH DRH
    TUMBUH MELEWATI ILM
    PROGRESIFITAS ROP
    SEVERITY(International Committee on
    Classification of Acute ROP)
    • STAGE 1 : GARIS DEMARKASI ANT VASCULARIZED
    & NON VASCULARIZED RETINA
    • STAGE 2 : GARIS DEMARKASI DG TINGGI, LUAS &
    VOLUME (RIDGE)
    • STAGE 3 : RIDGE DG PROLIFERASI
    FIBROVASKULER EXTRARETINA (RINGAN, SEDANG,
    BERAT, DITENTUKAN JML JAR. PROLIFERATIF)
    • STAGE 4 : RD SUB TOTAL, A. EXTRAFOVEAL &
    B. FOVEA TERLIBAT
    • STAGE 5 : RD TOTAL DG FUNNEL (ANT & POST,
    TERBUKA & SEMPIT)
    ROP STAGE 2
    ROP STAGE 3
    ROP STAGE 4
    ROP STAGE 5
    CICATRICIAL ROP
    CICATRICIAL ROP
    PROBLEM YG BERHUB DG ROP
    REGRESI
    • MIOP DG ASTIGMAT
    • ANISOMETROPIA
    • STRABISMUS
    • AMBLIOP
    • KATARAK
    • GLAUKOMA
    • RETINAL DETACHMENT
    TERAPI
    • VIT E & ANTIOKSIDAN LAIN
    • CRYOTERAPY PADA RETINA AVASKULER;
    ROP THRESHOLD SEPARO INSIDEN,
    OUTCOME BURUK (MACULAR DRAGGING
    RD, RETROLENTAL CICATRIX); VISUS ~
    ANATOMIS
    • LASER TERAPI : FULL SCATTER PD RETINA
    AVASCULER, PD ROP THRESHOLD & PRE
    THRESHOLD, < TRAUMATIK
    • SB, VITRECTOMY ROP STAGE 4
    JEJAS LASER
    FOTOKOAGULASI
    CRYOTHERAPY PD ROP

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