ROP Treatment Indication — RACP Paediatrics MCQ

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HardNeonatologyROP Treatment IndicationRACP Paediatrics

A preterm infant at 26 weeks is found to have stage 3+ ROP in zone II with plus disease (tortuous arterioles, dilated venules). What treatment is indicated?

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Correct answer: B — Laser photocoagulation or intravitreal anti-VEGF injection

Type 1 ROP (stage 3+ in zone I or II with plus disease) requires treatment. Laser photocoagulation (ablation of avascular retina) was the gold standard. Intravitreal anti-VEGF injection (bevacizumab, ranibizumab) is increasingly used, especially for zone I disease. Long-term ophthalmic follow-up is essential.

Reference: RCH Melbourne – 2024 – Clinical Practice Guidelines: ROP Treatment