Premature baby's retinopathy doctor completes intraocular injection accurately in 5 minutes
Recently, Xiaobao from Chuzhou, Anhui Province was given birth in the obstetrics department of Jiangsu Maternity and Child Health Hospital, but the gestational age was 29+2 weeks, the weight was only 1250 grams, and he had a history of respiratory distress and oxygen inhalation.
After Xiaobao was born, Fan Wen, deputy chief physician of the Department of Ophthalmology, Jiangsu Provincial People's Hospital, screened and followed up closely for retinopathy of prematurity.
When the child was re-examined one month later, the expert found that there were neovascularizations in the retina around Xiaobao's eyes, and diagnosed his premature infant's retinopathy of stage Ⅱ and stage 3.
Without timely intervention, Xiaobao’s eye disease will develop rapidly, and fibrosis, retinal detachment, and secondary glaucoma may soon appear, and he may even face the risk of blindness.
In order to grasp the treatment time window and save Xiaobao's eyesight as soon as possible, the experts decided to implement the surgical treatment of intraocular injection of anti-neovascular drugs into the eyes of the child.
Correspondent Xie Zhan Yangtze Evening News/Ziniu News reporter Yang Yan
Doctors and nurses cooperate with each other to complete intraocular injection in 5 minutes
After Xiaobao successfully completed the preoperative examination, he was admitted to the Jiangsu Provincial Maternity and Child Health Hospital. The surgical anesthesia method was topical anesthesia.
In order to ensure the smooth operation of the child, the medical staff in the outpatient operating room "doed enough homework" in advance, prepared an oxygen supply device for the newborn, adjusted the appropriate temperature and humidity in the operating room, and turned on the inflatable warm air blanket to pre-condition the operating bed. Keep warm.
The head nurse Zhang Qian assisted in fixing the head position of the child. Deputy Chief Physician Fan Wen began to disinfect the eyes, spread a drape, put on numb eye drops, and used a 1 ml empty needle to draw out anti-neovascular drugs, and use the eyelid opener to open it. For the eyelid, insert the needle accurately 1-1.5 mm behind the limbus of the child’s cornea, inject the drug into the vitreous cavity of the child’s eye, quickly withdraw the needle after a short pause, and gently press the needle into the needle with a cotton swab to prevent the liquid from flowing back. Subsequently, the eyes were coated with antibiotic ointment and bandaged with gauze. The operation ended smoothly, and the whole procedure was only 5 minutes.
During the follow-up one week after the operation, the retinal neovascularization in the periphery of Xiaobao's eyes had significantly subsided.
Xiaobao's mother excitedly took the hand of Deputy Chief Physician Fan Wen and thanked him: "Thank you Dr. Fan for racing against time for saving the baby's eyesight!"
During the epidemic, do not neglect the screening of retinopathy of prematurity
"With the opening of the second-child policy, the number of older pregnant women is increasing, and the number of premature babies is also on the rise. Retinopathy of prematurity is a vascular proliferative retinopathy that occurs in premature or low birth weight infants, and is the main cause of blindness in infants and young children. One." According to Fan Wen, deputy chief physician of the Department of Ophthalmology, the incidence of retinopathy of prematurity in preterm infants is about 13.7%, accounting for 30%-40% of all preschool blind children.
Approximately 15 million newborns were born in China in 2019, of which 1.2 million are premature infants, and about 120,000 children with retinopathy of prematurity, of which 15% are very low birth weight infants less than 1,500 grams, and 40%-50% are ultra-low birth weight infants less than 1,000 grams. Retinopathy of prematurity can occur in low birth weight infants.
Once retinopathy of prematurity occurs, it progresses quickly and the time window for effective treatment is very narrow. Therefore, early detection and early treatment are the fundamental ways to reduce the blindness rate of the disease.
Experts specifically reminded that during the epidemic, do not ignore the eye health of premature babies.
For premature infants and low birth weight infants whose birth weight is less than 2000 grams or the gestational age of birth is less than 32 weeks, fundus screening starts at 4-6 weeks after birth or 32 weeks of corrected gestational age, and follow-up until peripheral retinal vascular development recovers normal.
Provincial People's Medical Ophthalmology Department began to open "Pediatric Retinopathy Specialized Outpatient Clinic" in September
Early screening and correct treatment to prevent the development of retinopathy of prematurity and avoid blindness requires close cooperation and joint efforts of ophthalmology, neonatology, obstetrics and paediatric care.
In order to facilitate the visit of children, the Department of Ophthalmology, Jiangsu Provincial People's Hospital opened the "Pediatric Retinal Disease Special Outpatient Clinic" for the first time since September. Physician.
Patients in need can make an online appointment, on-site registration, etc. to see a doctor.