PMC8716634_01
RetCam images taken at 37 weeks of postmenstrual age (PMA). (A) Right eye with zone 2, stage 3 retinopathy of prematurity (ROP), (B) limited view of laser scars in the periphery of the right eye, and (C,D) left eye with zone 2, stage 3 ROP.
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F1
Fundus examination revealed persistent stage 3 ROP with inadequate laser, particularly nasally; however, the view was still somewhat limited for additional laser photocoagulation (Figure 1).
PMC8716634_02
RetCam images taken at 37 weeks of postmenstrual age (PMA). (A) Right eye with zone 2, stage 3 retinopathy of prematurity (ROP), (B) limited view of laser scars in the periphery of the right eye, and (C,D) left eye with zone 2, stage 3 ROP.
fped-09-786327-g0001.jpg
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F1
Fundus examination revealed persistent stage 3 ROP with inadequate laser, particularly nasally; however, the view was still somewhat limited for additional laser photocoagulation (Figure 1).
B-scan ultrasound images taken at 40 weeks of PMA. (A) Right eye and (B) left eye.
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F2
On exam and diagnostic imaging with B-scan ultrasound, there was no rubeosis, and no choroidal or retinal detachments were noted (Figure 2).
Ultrasound biomicroscopy images taken at 40 and 41 weeks of PMA. (A) Right eye before cyclopegia. (B) Left eye before cyclopegia. (C) Right eye after cyclopegia. (D) Left eye after cyclopegia.
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F3
Clinical examination and ultrasound biomicroscopy (UBM) revealed significant anterior chamber shallowing without pupillary block or synechiae, which improved significantly with topical cycloplegia with cyclopentolate 0.5% (Figure 3). Despite moderate improvement in the anterior chamber depth (Figure 3) and IOP, medical treatments were ultimately determined to be inadequate, and the patient required ab externo trabeculotomy in the right eye at 42 weeks of PMA and left eye at 44 weeks of PMA.
PMC8716634_03
Timeline of clinical findings and management of patient.
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F4
The timeline of clinical findings and management of this patient are presented (Figure 4).