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How does Oxygen therapy lead to ROP?
Oxygen inhibits normal retinal vascular proliferation leading to retinal detachment and sometimes blindness. Use of oxygen increases damaging reactive oxygen species
At what gestation is most common
Babies born less than 28 weeks gestational age
What are the top three PRIMARY risks factor for ROP
Prematurity, low birth weight, postnatal oxygen exposure
Wha other factor or prematurity contributes to ROP
They have fewer antioxidants to counteract ROS (rEACTIVE OXYGEN SPECIES)
this LEADS TO ENDOTHELIAL CELL DAMAGE, APOPTOSIS AND CAPILLARY CONSTRICTION
What are some secondary risk factors in development of ROP?
Hyperoxia
Apnea
Sepsis
Blood transfusion
Antioxidant deficiency
PDA
Infection of the intestine
IVH
What are the criteria for screening for ROP in the NICU
< 31 WEEKS
Weigh less than 1250g at birth
What do we classify as zones?
Zones describes how far the blood vessels have grown away from the optic nerve. Zone 3 means the blood vessels have grown away from the nerve and closer to the retina
What does stages mean?