Long term refractive and structural outcome following laser treatment for zone 1 aggressive posterior retinopathy of prematurity

To report the long term refractive, visual and structural outcome post-laser for zone 1 aggressive posterior retinopathy of prematurity [AP-ROP]. A retrospective analysis was performed of refractive status of premature infants with zone 1 AP-ROP who underwent laser photocoagulation from 2002 to 2007 and followed up till 2013. Once the disease regressed, children were followed up six monthly with detailed examination regarding fixation pattern, ocular motility, nystagmus, detailed anterior segment and posterior segment examination, and refractive status including best corrected visual acuity. Forty-eight eyes of 25 infants were included in the study. Average follow-up was 6.91 years [range, 3.8-9.5years] after laser treatment. Astigmatism was noted in 43 out of 48 eyes [89.6%]. Two eyes had simple myopia whereas three eyes had no refractive error. After successful laser treatment for zone 1 retinopathy of prematurity [ROP], 94% of our cases developed refractive error. Although most had a favorable anatomical and visual outcome, long-term follow-up even after a successful laser treatment in ROP was necessary

Awareness of retinopathy of prematurity among pediatricians in a tier two city of south India

To analyze the level of awareness and knowledge about retinopathy of prematurity [ROP] among pediatricians in Coimbatore, which is a tier two city in South India. A questionnaire was framed on the knowledge attitude and practice [KAP] pattern. The questionnaire was given to 83 practicing pediatricians in government and private practice in Coimbatore and collected in person between November and December 2009. Answers were obtained on criteria little knowledge, prevention, screening, treatment and awareness of ROP. Only 54 [65.1%] pediatricians were aware of ROP, while 29 [34.9%] were not aware of the disease. Thirty-three [39.8%] answered that ROP is preventable, while 24 [28.9%] responded that ROP is not preventable. Thirty-four [41%] pediatricians had no idea as to which part of the eye is affected in ROP, while 38 [45.8%] did not know when ROP screening should be started. Only 43 [51.8%] pediatricians were sure that ROP is treatable. Pediatricians in private hospitals were more aware of ROP compared to their counterparts in government hospitals [P = 0.006]. Awareness among pediatricians in Coimbatore about ROP is poor. Our study emphasizes the need to increase awareness of this avoidable cause of blindness

Atypical retinocytoma with diffuse vitreous seeds: an insight

Retinocytoma is a rare benign form of retinoblastoma. It is usually found on routine examinations and also while screening families of patients with retinoblastoma. Distinctive features are a translucent retinal mass with calcification, retinal pigment epithelial disturbance, chorioretinal atrophy and absence of growth. We report a case with all the above features along with diffuse vitreous seeds and optical coherence tomographic documentation of intralesional cavitary lesions