Retinopathy of Prematurity

Retinopathy of PrematurityRetinopathy of PrematurityRetinopathy of PrematurityRetinopathy of Prematurity

For Parents, Caregivers, and Healthcare Professionals

Retinopathy of Prematurity

Retinopathy of PrematurityRetinopathy of PrematurityRetinopathy of PrematurityRetinopathy of Prematurity

For Parents, Caregivers, and Healthcare Professionals

About ROP

What is ROP?

 Retinopathy of Prematurity (ROP) is a disease that  affects the blood vessels in the retina. The retina is the  back part of the eye that helps us to see. When a baby  is born prematurely, the blood vessels in the eye have  not finished growing. In ROP, the eye grows new blood  vessels the wrong way. These vessels can damage the  retina and cause blindness. 

What can I do?

 It is VERY IMPORTANT to get your baby’s eyes checked regularly by an eye doctor. Their eyes must  be checked both at the hospital and after they leave. If your child has ROP, it may not be cured by  the time they leave the hospital. Your doctor will tell you when to bring your child back for eye exams.  It is VERY IMPORTANT to keep these appointments. Get your baby’s eyes checked on time or the  ROP can become worse and cause blindness. 

How do I know if my child has ROP?

 The eye doctor must look at the baby’s eyes to tell whether or not they have ROP. The doctor will  look at the blood vessels in the retina. He or she will describe the vessels using Zones and Stages.  The zone tells you the part of the eye where the vessels have stopped growing. The stage explains  how severe the ROP is. Plus Disease is when the vessels also look large and twisted. Doctors  decide if your baby needs ROP treatment based on the zone, stage, and if they have plus disease. 

What are the risks of ROP?

 About half of low birthweight babies in the US will develop ROP. In about 9 out of 10 cases of ROP, the baby’s eyes will get better without  treatment. In some cases, the baby needs treatment to stop damage to  the retina. WITHOUT TREATMENT, THE BABY CAN GO BLIND. 


There are other eye problems that can happen in premature babies. Eye  exams check for these issues. These problems include:  

Lazy eye • Crossed eye • Need for glasses 

Treatments for ROP

If the eye doctor decides that your baby needs treatment, there are two choices.


  1. The doctor can do a surgery with a laser. The part of the retina without blood vessels gets laser treatment. It stops vessels that are not normal from growing. This is the most common treatment and works very well.
  2. The eye doctor can put a medicine into the eye. This medicine stops the new vessels that are not growing normally.

Educational Handouts

ROP handout- English (pdf)

Download

ROP handout- Spanish (pdf)

Download

Educational Videos

ROP Education- English

ROP Education- Spanish

ROP for Healthcare Providers

ROP Resources

American Association of Pediatric Ophthalmology and Strabismus

https://aapos.org/glossary/retinopathy-of-prematurity

National Eye Institute

https://www.nei.nih.gov/learn-about-eye-health/eye-conditions-and-diseases/retinopathy-prematurity

American Academy of Ophthalmology

https://eyewiki.aao.org/Retinopathy_of_Prematurity

Contact Us

Created by

University of Maryland School of Medicine  

Department of Ophthalmology and Visual Sciences

University of Maryland Medical Center  

Neonatal Intensive Care Unit

Please email ROPeducation@som.umaryland.edu with questions or comments.

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