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Turk J Ophthalmol. 2018 Oct;48(5):250-253. doi: 10.4274/tjo.90699. Epub 2018 Oct 31.

Binocular Indirect Ophthalmoscopy Complements Non-contact Wide-field Imaging with Optos to Treat a Baby Outside ETROP Guidelines.

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Oxford University Hospitals, John Radcliffe Hospital, Oxford Eye Hospital, Paediatric Vitreoretinal Service, Oxford, United Kingdom.


We report a male premature baby who was born at 24 weeks gestation weighing 600 grams. There was bilateral stage 2, zone 2 retinopathy of prematurity (ROP) without plus disease at 38 weeks postmenstrual age. Ultra-wide-field Optomap images obtained 1 week later showed no change in ROP stage. At 40 weeks postmenstrual age, stage 3, zone 2 ROP was detected using binocular indirect ophthalmoscopy and documented using Optos. Minor tortuosity and dilation of vessels was interpreted as pre-plus disease. One week later, at 41 weeks postmenstrual age, Optomap images identified progressive extraretinal fibroproliferation in the nasal quadrant. As a result, the baby was treated with fundus laser photocoagulation.


Optomap; Optos; retinopathy of prematurity; ultra wide-field imaging; Binocular indirect ophthalmoscope

Conflict of interest statement

Conflict of Interest: No conflict of interest was declared by the authors.

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