Retinopathy Of Prematurity (Rop) Programme ^{Retinopathy of Prematurity | Best ROP Treatment Hospital in Delhi | Moolchand Hospital}

ROP Screening Programme

• Structured ROP screening for all eligible premature babies meeting international criteria

• Screening initiated at 31 weeks postmenstrual age or four weeks after birth for very premature infants

• Indirect ophthalmoscopy by experienced paediatric ophthalmologists for comprehensive retinal evaluation

• RetCam digital retinal photography for high-resolution documentation and telemedicine consultation

• Accurate ROP staging using International Classification of Retinopathy of Prematurity

• Regular screening intervals determined by disease severity and zone of involvement

• Inpatient and outpatient screening availability for admitted and discharged premature infants

• Documentation and parental communication at every screening visit

ROP Diagnosis and Staging

• Precise ROP diagnosis and staging using the International Classification of ROP

• Zone and stage determination for treatment threshold assessment

• Plus disease evaluation for aggressive vascular activity assessment

• Aggressive posterior ROP recognition and urgent treatment pathway activation

• Fluorescein angiography for detailed vascular assessment in complex and aggressive cases

• Digital documentation and serial retinal image comparison for disease progression monitoring

• Multidisciplinary ROP case review for complex treatment planning

Laser Photocoagulation for ROP

• Laser photocoagulation for threshold and type 1 pre-threshold ROP

• Diode laser treatment delivered under anaesthetic monitoring in the NICU or operating suite

• Peripheral avascular retina ablation to arrest disease progression and prevent retinal detachment

• Bilateral simultaneous laser treatment for time-critical disease when clinically indicated

• Post-laser monitoring protocol for treatment response assessment

• Rescue treatment planning for cases with suboptimal initial laser response

• Coordination with neonatology for safe anaesthetic and haemodynamic management during laser

Anti-VEGF Intravitreal Injection Therapy

• Anti-VEGF therapy for aggressive posterior ROP and type 1 ROP in selected cases

• Intravitreal bevacizumab or ranibizumab injection under appropriate anaesthetic monitoring

• Enhanced post-injection surveillance protocol for recurrence detection

• Combined anti-VEGF and laser therapy for selected complex ROP presentations

• Long-term follow-up after anti-VEGF treatment for late recurrence and refractive error monitoring

• Parent counselling on anti-VEGF therapy outcomes and follow-up requirements

Surgical Management of Advanced ROP

• Vitreoretinal surgery evaluation for Stage 4 and Stage 5 ROP with retinal detachment

• Scleral buckling for Stage 4 tractional retinal detachment

• Vitrectomy for Stage 5 total retinal detachment in selected cases

• Coordination with vitreoretinal surgeons for complex surgical ROP management

• Post-surgical visual rehabilitation and long-term functional outcome monitoring

NICU Oxygen Management for ROP Prevention

• Evidence-based oxygen saturation target management to minimise ROP risk

• Continuous pulse oximetry monitoring with alarm threshold protocols

• Hyperoxia avoidance and careful oxygen weaning for vulnerable premature infants

• Regular oxygen management protocol review and nursing staff education

• Coordination between neonatology and ophthalmology for ROP risk minimisation

Post-Discharge ROP Follow-Up Programme

• Structured post-discharge ROP follow-up schedule for all treated and high-risk infants

• Regular retinal examination until full vascularisation of the peripheral retina is confirmed

• Refractive error assessment and spectacle prescription for post-ROP myopia and astigmatism

• Amblyopia screening and treatment initiation for deprivation and refractive amblyopia

• Strabismus evaluation and management for post-ROP ocular motility disorders

• Cycloplegic refraction at scheduled intervals for refractive progression monitoring

Long-Term Visual Surveillance for ROP Graduates

• Annual ophthalmic review for premature infants with history of significant ROP

• Myopia progression monitoring and myopia control intervention for post-ROP children

• Amblyopia treatment monitoring and outcome assessment

• Retinal examination for late complications including retinal tears and lattice degeneration

• Visual field assessment for children with significant peripheral retinal ablation

• Low vision assessment and rehabilitation for children with residual visual impairment

Parent Education and Counselling

• Dedicated ROP counselling for parents of premature babies at risk of ROP

• Clear, compassionate explanation of ROP screening findings and treatment requirements

• Written information and visual resources to support parental understanding

• Emotional support and reassurance for families navigating neonatal ROP

• Post-treatment parent education on follow-up schedule and warning signs

• Family guidance on visual stimulation and developmental support for visually at-risk infants

ROP Telemedicine and Remote Screening Support

• RetCam-based telemedicine ROP screening for remote NICU referral consultation

• Digital image transmission and expert remote ROP staging and management advice

• Referral pathway for premature babies in peripheral hospitals requiring ROP treatment

• Coordination with referring NICUs for treatment planning and transfer when indicated