As Parents, we all want to do what is best for our children. We know that when a baby is first diagnosed with ROP, the terminology is so hard to understand. We have tried to simplify the terms here as much as possible for the parents. Remember, we are parents too so we understand what you have been through. Seek answers while your baby is still in the NICU.
Neonatal nurses and doctors are more knowledgeable about Retinopathy of Prematurity than Pediatricians. Remember that you are your babies advocate. Never be afraid to ask questions.
What happens when ROP develops?
Stage
I — Mildly abnormal blood vessel growth. Many children who develop
stage I improve with no treatment and eventually develop normal vision.
The disease resolves on its own without further progression.
Stage
II — Moderately abnormal blood vessel growth. Many children who develop
stage II improve with no treatment and eventually develop normal
vision. The disease resolves on its own without further progression.
Stage
III — Severely abnormal blood vessel growth. The abnormal blood vessels
grow toward the center of the eye instead of following their normal
growth pattern along the surface of the retina. Some infants who
develop stage III improve with no treatment and eventually develop
normal vision. However, when infants have a certain degree of Stage III
and "plus disease" develops, treatment is considered.
"Plus disease"
means that the blood vessels of the retina have become enlarged and
twisted, indicating a worsening of the disease. Treatment at this point
has a good chance of preventing retinal detachment.
Stage IV —
Partially detached retina. Traction from the scar produced by bleeding,
abnormal vessels pulls the retina away from the wall of the eye.
Stage
V — Completely detached retina and the end stage of the disease. If the
eye is left alone at this stage, the baby can have severe visual
impairment and even blindness.
Most babies who develop ROP have
stages I or II.
However, a number of babies develope the more advanced stages of ROP and
sometimes very rapidly.
If left untreated ROP threatens to destroy vision so please if you have already been released from the NICU have your baby's eyes followed up with an Ophthamologist.