A 28-week preterm neonate is screened for retinopathy of prematurity (ROP) at 32 weeks postmenstrual age. On indirect ophthalmoscopy, a distinct demarcated ridge is seen between the vascularized and avascular retina in zone II. There is no plus disease. What is the next best step?
- A Weekly follow-up examinations ✓
- B Intravitreal anti-VEGF injection
- C Laser photocoagulation
- D Vitrectomy
Correct answer: A. Weekly follow-up examinations
Explanation
Stage 2 ROP (ridge without plus disease) in zone II does not meet treatment thresholds. It requires close follow-up as it may progress to threshold disease. Laser or anti-VEGF is indicated for type 1 ROP or threshold disease. Vitrectomy is for stage 4 or 5.
Reference: Nelson Textbook of Pediatrics, 21st ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
Written and medically reviewed by the StethoPrep medical team.