Bin Amro Ashwaq, Alnuaimi Rawdha, Chan Tin, Alali Abeer
Ophthalmology Department, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates.
SAGE Open Med Case Rep. 2020 Oct 8;8:2050313X20944306. doi: 10.1177/2050313X20944306. eCollection 2020.
In this case report, we discuss the presentation of retinopathy of prematurity in triplets born at 25 + 3 weeks gestational age of whom each had a different birth weight, weight gain and treatment requirements. Triplet A weighed 800 g and his retinopathy of prematurity had resolved with no intervention. Triplet B weighed 630 g at birth and he required bilateral intravitreal ranibizumab injection at 32 + 6 weeks. Triplet C weighed 520 g and required bilateral intravitreal ranibizumab injection at 36 weeks, but after 5 weeks he had recurrence which was treated with bilateral diode laser. Triplet C had the poorest weight gain. The main differences between the triplets are the birth weight and the weight gain. Furthermore, refraction was performed at 10 months; triplet A had a hyperopia of +1.25 spherical equivalent in both eyes, triplet B had mild myopia of -0.25 spherical equivalent and triplet C had a myopia of -3.00 spherical equivalent in the right eye and -2.75 spherical equivalent in the left eye.
在本病例报告中，我们讨论了孕25⁺³周出生的三胞胎早产儿视网膜病变的情况，他们各自的出生体重、体重增加情况及治疗需求均有所不同。三胞胎A体重800克，其早产儿视网膜病变未经干预自行消退。三胞胎B出生时体重630克，在32⁺⁶周时需要双侧玻璃体内注射雷珠单抗。三胞胎C体重520克，在36周时需要双侧玻璃体内注射雷珠单抗，但5周后复发，接受了双侧二极管激光治疗。三胞胎C的体重增加情况最差。三胞胎之间的主要差异在于出生体重和体重增加情况。此外，在10个月时进行了验光；三胞胎A双眼等效球镜度数为远视+1.25，三胞胎B有轻度近视，等效球镜度数为-0.25，三胞胎C右眼近视-3.00，左眼近视-2.75。
