bandage-green

Retinopathy of Prematurity: Laser Photocoagulation and Anti-VEGF Injection

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, arms tucked
Time : 1-2 hours (average)
Blood Loss : Zero
Post-op Pain : Minimal (0-3)
Maintenance Paralytic : Yes
Considerations : Off-site, Neonatal resuscitation / NICU standby

Anesthetic Approaches

1GETT
2GETT, TIVA
The Surgery

Examination and mapping - the pupils are dilated and the retina examined with an indirect ophthalmoscope and a condensing lens to define the zone and stage of disease. Laser photocoagulation - the...

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