While working in a neonatal ICU. Your team delivers a preamature infant at 27 weeks of gestation and weighing 1500gm. How soon will you request fundus examination by an ophthalmologist?: (A) Immediately, (B) 3 – 4 weeks after delivery, (C) At 34 weeks gestational age, (D) At 40 weeks gestational age
Answer is C. All babies weighing less than 1.5 kg at birth or having a gestation period of less than 32 weeks should be screened with indirect ophthalmoscopy for retinopathy of prenaturity, between 32 and 36 weeks post conception.