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Retinopathy of prematurity — RACP Paediatrics MCQ

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ModerateNeonatologyRetinopathy of prematurityRACP Paediatrics

A baby born at 25 weeks' gestation is now clinically stable in the neonatal unit. She required oxygen and ventilation for several weeks. The parents ask why an eye examination has been arranged despite normal external eye appearance. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: AArrange scheduled retinal screening by an ophthalmologist

Very preterm infants need scheduled ophthalmic screening because retinopathy of prematurity is not visible externally. A red reflex check is valuable but cannot stage peripheral retinal vascular disease. Timely screening prevents missed treatable sight-threatening disease.

Reference: RACP Knowledge Guides; Australian neonatal ROP screening guidance