We do have cases of ROP which occur in premature children with low birth rate who are put in an incubator in NICU and exposed to oxygen. It is very important that these premature children should be examined by pediatric ophthalmologist to exclude RIP by doing indirect ophthalmoscopy ROP pathogenesis is due to retinal endothelial gestational factors which occur in premature children and are risk factors for ROP.

Staging for ROP is Stage 1: Normal fundus Stage 2: The presence of moderate presence of abnormal vessels Stage 3: The severe presence of abnormal vessels with partial retinal detachment Stage 4: The severe presence of abnormal blood vessels with total retinal detachment In established cases of ROP, one may see white reflex in pupillary area ROP is also one of the causes of leukocoria in established cases of ROP management is by pars plana vitrectomy and pan-retinal…