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OPHTHALMIC IMAGE
Year : 2022  |  Volume : 2  |  Issue : 1  |  Page : 330

Retinopathy of prematurity laser through posteriorly dislocated crystalline lens


Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India

Date of Web Publication07-Jan-2022

Correspondence Address:
Dr. Amber A Bhayana
Dr R P Centre, AIIMS, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_2034_21

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How to cite this article:
Bhayana AA, Prasad P, Azad SV, Sheoran P. Retinopathy of prematurity laser through posteriorly dislocated crystalline lens. Indian J Ophthalmol Case Rep 2022;2:330

How to cite this URL:
Bhayana AA, Prasad P, Azad SV, Sheoran P. Retinopathy of prematurity laser through posteriorly dislocated crystalline lens. Indian J Ophthalmol Case Rep [serial online] 2022 [cited 2022 Aug 14];2:330. Available from: https://www.ijoreports.in/text.asp?2022/2/1/330/334928



We report laser photocoagulation of avascular retina through dislocated crystalline lens in ROP[1] baby in the left buphthalmic eye ([Figure 1]a, [Figure 1]b, [Figure 1]c, [Figure 1]d]; birth-gestational age 28 weeks, birth-weight 1.2 kg, postconceptional age 38 weeks; zone 2, stage 3, plus disease). Vitrectomy with lensectomy was not preferred as refractive rehabilitation would not have been possible (ACIOL—poor iris support, SFIOL—thin sclera). Laser through posteriorly dislocated lens is possible, but one has to be cautious due to sudden change in refractive medium at lens border, limiting ourselves only distal to disease demarcation line.
Figure 1: (a) Inferiorly dislocated crystalline lens of the left eye; (b) site of scleral indentation; (c) view through 20D lens during laser indirect ophthalmoscopy showing laser spots and two areas—one lasered through aphakic area and the other lasered through dislocated lens area; and (d) image showing a demarcation line between vascular and avascular retina

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Bashinsky AL. Retinopathy of prematurity. N C Med J 2017;78:124-8.  Back to cited text no. 1
    


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