Smt. Kanuri Santhamma Centre for Vitreo-Retinal Diseases, L V Prasad Eye Institute, Hyderabad, India.
Indian J Ophthalmol. 2010 Nov-Dec;58(6):509-15. doi: 10.4103/0301-4738.71689.
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.
早产儿视网膜病变（ROP）是儿童失明的一个重要原因。激光治疗的标准已经从阈值 ROP 修订为包括高危未阈值 ROP 的早期阶段。激光光凝术是治疗 ROP 的一种成熟技术。然而，激光光凝术的详细程序和技术尚未公布。ROP 的适当和适当的激光光凝术与成人视网膜血管疾病中激光的应用不同，如果要改善 ROP 治疗计划的普及，许多眼科医生需要接受这项技术的培训。在印度，局部麻醉下的激光已被用作首选方式，特别是由于这些早产儿的全身麻醉的后勤和风险。我们讨论了印度三级眼科医院所采用的技术细节，以便可以将治疗参数和临床决策中的细微差别有效地应用于眼科实践。这最终将导致 ROP 的安全有效治疗。
