This is an automatically translated article.
The article was professionally consulted by MSc Hoang Thanh Nga - Department of Medical Examination and Internal Medicine, Vinmec Ha Long International General Hospital. Uncle has 10 years of experience working in the field of Ophthalmology, used to work at Thai Nguyen Central Hospital and held the position of deputy head of the department and in charge of the Department of Ophthalmology at Thai Nguyen University of Medicine and Pharmacy. He has a lot of experience in the field of examination and treatment of eye diseases.Retinopathy of prematurity is a common disease, especially for babies born when the gestational age is less than 33 weeks. The reason is that the retina of the eye usually forms from the 16th to the 40th week of pregnancy, in premature babies the retinal blood vessels are not fully developed, this abnormal development will lead to damage to the skin. retina and affect children's vision.
1. What is retinopathy of prematurity?
Retinopathy of prematurity (ROP) is an eye condition commonly seen in premature, low birth weight (less than 1800 g) infants. If the disease is not detected and treated in time, a significant proportion is at risk of permanent blindness in both eyes.
2. What causes ROP?
The exact cause of the disease is unknown. Low birth weight and gestational age, high and prolonged oxygen breathing, anemia....
3. Which children are susceptible? Why are premature babies more susceptible to this disease?
The more prematurely, the lower the birth weight, and the sicker the child, the higher the risk of disease and the more severe the disease. It is common for premature babies with birth weight below 1800 g. Gestational age at birth ≤ 33 weeks. Premature babies are more susceptible to this disease because:
The retina of the eye forms at 16 weeks usually ending at 40 weeks. This blood vessel system that supplies nutrients and oxygen develops the entire surface of the back innermost layer of the eye. eye. In premature infants this process is not complete. After birth, if the blood vessels develop abnormally, the baby will have the disease.
HÌnh ảnh bệnh võng mạc trẻ đẻ non
4. How to know if the baby is sick?
ROP when it manifests itself, it is too late. When the disease is at an early stage, it cannot be detected with the naked eye. An ophthalmologist will have specialized tools and machines to examine the baby's fundus and detect the disease at a very early stage.
5. When does the baby need an eye exam to detect disease, the number of visits, and when?
Thăm khám định kỳ cho tới khi bé được 40 - 42 tuần tuổi để phát hiện bệnh sớm nếu có
First eye exam when the baby is 3 - 4 weeks after birth, or the baby is ≥ 31 weeks old. Even when he was still in the neonatal unit and even when he was able to go home. Check back every 2 weeks until the baby is 40 - 42 weeks old (from the date of conception). Or until the blood vessels in the retina are fully developed. In more severe stages, the baby may have to be examined again after 1 week or even 2-3 days, sometimes requiring immediate treatment.
6. When a child is sick, is there any way to treat it?
The doctor will choose the best treatment for your baby. There are 2 current treatment methods: laser and drug injection. Laser success rate: 65% with severe morphology and about 90% - 95% with mild or moderate morphology. Injections from 98 - 100%.
7. How to prevent children from getting sick?
Good pregnancy management to prevent premature delivery. When the baby has been born prematurely, with low birth weight, it is necessary to adhere to the eye examination regime for the baby. Do not be subjective when you see that the baby's eyes appear normal. As a key area of Vinmec Medical system, Pediatrics Department always brings satisfaction to customers and is highly appreciated by industry experts with:
Gathering a team of leading pediatricians: including leading experts with high professional qualifications (professors, associate professors, doctorates, masters), experienced, worked at major hospitals such as Bach Mai, 108.. Doctors All are well-trained, professional, with a mind - range, understanding young psychology. In addition to domestic pediatric specialists, the Department of Pediatrics also has the participation of foreign experts (Japan, Singapore, Australia, USA) who are always pioneers in applying the latest and most effective treatment regimens. . Comprehensive services: In the field of Pediatrics, Vinmec provides a series of continuous medical examination and treatment services from Newborn to Pediatric and Vaccine,... according to international standards to help parents take care of their baby's health from birth to childhood. from birth to adulthood Specialized techniques: Vinmec has successfully deployed many specialized techniques to make the treatment of difficult diseases in Pediatrics more effective: neurosurgery - skull surgery, stem cell transplantation. blood in cancer treatment. Professional care: In addition to understanding children's psychology, Vinmec also pays special attention to the children's play space, helping them to have fun and get used to the hospital's environment, cooperate in treatment, improve the efficiency of medical treatment.
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