Retinopathy of Prematurity (ROP)

Hindi: समय से पहले जन्मे शिशुओं की रेटिनोपैथी (आर.ओ.पी.)
Marathi: अकाली जन्मलेल्या बाळांची रेटिनोपॅथी (आर.ओ.पी.)

Retinopathy of prematurity (ROP) is a potentially blinding eye disorder that affects babies born prematurely or with low birth weight. The blood vessels of the retina are among the last structures to mature before birth. When a baby is born too early, these vessels can grow abnormally — fragile, disorganised vessels that may bleed, scar and pull the retina away, causing retinal detachment and blindness if not caught in time.

ROP has no outward signs. The baby’s eyes look completely normal to parents. It can only be detected by a trained eye specialist examining the retina — which is why timely screening is life-changing.
Normal Retina vs ROP

HEALTHY RETINA vessels grow smoothly to the retinal edge

RETINA WITH ROP abnormal vessels & ridge vessels stop early & grow abnormally → risk of detachment

In ROP, retinal vessels grow in a disorganised way and can scar and detach the retina. Early treatment prevents this.

Who Needs Screening

In India, ROP screening is recommended for all babies born at or before 34 weeks of gestation or weighing under 2000 g at birth, and for any premature baby who needed oxygen or intensive care. The first screening is usually done 2–3 weeks after birth, and repeated at intervals advised by the specialist until the retina has fully matured.

Treatment

When ROP reaches a treatable stage, laser treatment or anti-VEGF injections can stop the abnormal vessels and save vision. Treatment is highly effective when given on time — but the window is short, sometimes just a few days. This is why no screening appointment should ever be missed.

Frequently Asked Questions

My premature baby’s eyes look normal — is screening still needed?

Yes, absolutely. ROP produces no visible signs in its early, treatable stages. Only a retinal examination can detect it, so screening is essential even when the eyes appear perfectly healthy.

When should the first ROP screening happen?

Usually 2–3 weeks after birth, or as advised by the neonatologist. The exact timing depends on how premature the baby was. Follow-up checks continue until the retina matures.

Is the screening painful for my baby?

The examination is quick and well tolerated. We use dilating drops and gentle techniques to keep your baby as comfortable as possible.

What happens if ROP is found?

Mild ROP often resolves on its own with monitoring. More advanced disease is treated with laser or injections, which are very effective when done promptly.

Has your premature baby been screened for ROP?
Don’t wait — timely screening at Suraj Eye Institute can save your baby’s sight.

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