Ophthalmology · Pediatric Ophthalmology and Amblyopia Management

In retinopathy of prematurity (ROP), the demarcation line between the vascularized and avascular retina in stage 2 disease is characterized by:

  • A A flat, white line at the junction of vascular and avascular retina
  • B A ridge of tissue with height and width at the junction
  • C A ridge with extraretinal fibrovascular proliferation
  • D Partial retinal detachment
Correct answer: B. A ridge of tissue with height and width at the junction

Explanation

ROP stage 2 is defined as a ridge, meaning the demarcation line gains both height and width at the junction of vascular and avascular retina. Stage 1 is a flat white demarcation line. Stage 3 adds extraretinal neovascularization from the ridge. Stage 4 and 5 involve partial and total retinal detachment respectively. The distinction between line (stage 1) and ridge (stage 2) is a key staging feature examined in ROP classification.

Reference: International Classification of Retinopathy of Prematurity, cited in Kanski, 9th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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