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Eye Exam for Retinopathy of Prematurity

by Alexandra Howson, PhD

Definition

Reasons for Procedure

Possible Complications

What to Expect

Call Your Doctor

En Español

Definition

During this exam, an eye doctor examines the interior of the eyes through a special lens. The doctor checks for any damaged blood vessels in the retina inside the eye.

Normal Anatomy of the Eye

Reasons for Procedure TOP

This exam is done to look for retinopathy of prematurity (ROP). ROP is an abnormal growth of blood vessels in the retina. It is a rare conditions that that can occur in premature infants or those that have a low birth weight. ROP will usually go away on its own, but can sometimes cause vision loss or blindness. This exam will help determine if ROP is present and if treatment is needed.

If your infant is at risk for ROP, this eye exam will be scheduled at regular intervals until the blood vessels of the eye are fully developed.

Possible Complications TOP

Your infant may need eye drops during the exam. Your doctor will discuss the complications that may be caused by eye drops, such as:

Stinging or discomfort in the eye
Light sensitivity
Blurred vision
Lid swelling
Red eyes

Be sure to discuss these risks with the doctor before the eye exam.

What to Expect TOP

Prior to Procedure

Do not feed your infant right before the exam.
If recommended by the doctor, a pacifier during the exam may help soothe your infant.
The doctor will put eye drops in your infant’s eyes. These will make the pupils open wide. The drops will take about 30-60 minutes to work.

Anesthesia

Drops may be placed in the eyes to numb them and keep your infant comfortable.

Description of the Procedure TOP

An assistant may gently place your infant in a blanket and hold him or her during the exam. A special device will be placed to keep your infant's eyelids open. A special lens will send a bright light into the eye so the doctor can see the blood vessels in the eye. The doctor may also use a tool to move the eye in different directions.

How Long Will It Take? TOP

30-60 minutes

Will It Hurt? TOP

The dilating eye drops can cause stinging. The exam can cause discomfort, as well. Ask the doctor if medication may be needed to keep your infant comfortable.

Post-procedure Care TOP

At the Care Center

Right after the exam, the doctor will tell you about the condition of your infant’s eyes. Follow up will be scheduled if your child needs a procedure or repeat screening.

At Home

Depending on the strength of the eye drops, your infant’s eyes may be dilated for 4-24 hours.

Call Your Doctor TOP

It is important to monitor your infant's recovery. Alert your infant's doctor to any problems. If any of the following occur, call your infant's doctor:

Discharge from the eye
Redness or swelling
Does not respond to objects, movement, or light or is not tracking with their eyes
Signs of infection, including fever and chills
Any new symptoms

If you think you have an emergency, call for medical help right away.

RESOURCES:

Healthy Children—American Academy of Pediatrics
http://www.healthychildren.org

National Eye Institute
http://www.nei.nih.gov

CANADIAN RESOURCES:

Canadian Ophthalmology Society
http://www.eyesite.ca

Canadian Pediatric Society
http://www.cps.ca

References:

Retinopathy of prematurity. EBSCO DynaMed website. Available at:
...(Click grey area to select URL)
Updated February 23, 2016. Accessed March 9, 2016.

Retinopathy of prematurity. National Eye Institute website. Available at: https://www.nei.nih.gov/health/rop. Accessed March 9, 2016.

Last reviewed March 2017 by EBSCO Medical Review BoardKari Kassir, MD
Last Updated: 5/5/2014

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