Optical coherence tomography in the management of acute retinopathy of prematurity.
OBJECTIVE
To demonstrate the microscopic changes, in vivo, accompanying stage 4 retinopathy of prematurity.


METHODS
Interventional case study.


METHODS
Optical coherence tomography (OCT) of the macula was performed in a baby with presumed stage 4a retinopathy of prematurity (retinopathy of prematurity). The findings were correlated with clinical staging and video indirect ophthalmoscopy.


RESULTS
OCT changed the staging of retinopathy of prematurity from 4a to 4b, demonstrated intraretinal edema, and objectively confirmed the clinical impression of disease progression.


CONCLUSIONS
OCT could be valuable as a new strategy in the staging and surgical management of retinopathy of prematurity.
Oxford Eye Hospital, Radcliffe Infirmary, Woodstock Road, Oxford OX2 6HE, United Kingdom. ckpatel@btinternet.com
Chetan Kantibhai
CK
Patel
D000208:Acute Disease; D018450:Disease Progression; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D019102:Infant, Very Low Birth Weight; D053685:Laser Therapy; D009887:Ophthalmoscopy; D012160:Retina / Q000473:pathology*; D012178:Retinopathy of Prematurity / Q000145:classification / Q000175:diagnosis* / Q000601:surgery; D041623:Tomography, Optical Coherence