Wednesday, November 30, 2016

Classic Photos of APROP using 30 degree fundus camera.



The 30 degree fundus photograph of posterior retina show details difficult to document with the low resolution RETCAM.  These are from my old collection they are around 25 years old.

Figure 1:  Very fine vessels make up this brush border or hedge of neovascularization. The focus on the retina surface cause a loss of resolution of the fine vessel details. There is no ridge or demarcation line. If one follows the retinal vessels they disappear under the edge of the neovascularization. The halo is not stage 1.  Is is not a “definite structure” but color contrast relative to the core of the brush border causing a mach band.

Figure 2:  Early fine vessel fronds are growing from arteriovenous anastomoses in a true flat sea fan configuration (arrows).  This is early APROP neovascularization.  A round hemorrhage is also seen.  No CROP stages are seen. The arteriole is marked with a and venule with v. They anastomose behind the fronds marked with x.


Welcome

This is a new blog for the discussion of Aggressive Posterior Retinopathy of Prematurity (APROP). The purpose is to reduce the confusion and increase the understanding of this condition.  This will include the discussion of primary observations as well as a critical analysis of the literature and other sources.