Delicate intervention for the detachment of the retina on a baby of only 4 months at the Maria Vittoria in Turin – Turin today



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2 March 2018: a baby, who was supposed to be born in this month of July, was born in Modena severely premature, at the 23rd week of gestation, only 600 grams of weight, affected by a severe form of ROP, retinopathy of Pretermine, a pathology that can lead to blindness.

Despite a rapid treatment by cryotherapy, performed at the hospital in Modena, the pathology unfortunately evolves negatively and causes in the child a bilateral detachment of the retina, at very high risk of loss of vision.

July 2, 2018 : exactly 4 months after birth, the small, now weighing 1800 grams, is operated in Turin, at the High Specialization Center for ROP, regional and national reference, led by Dr. Giovanni Anselmetti, director of the hospital Maria Vittoria Ophthalmology, where he was transferred by ambulance from Modena.

"The intervention in case of detachment of the retina is particularly complex – explains Dr. Giovanni Anselmetti, who attended it by Dott.ssa Patrizia Faletti and Anesthesista Luciana Faccio – Previous treatments performed by colleagues in Modena had not yielded the expected results, since the severity of the disease is directly proportional to the degree of prematurity.Our center is one of the few in Italy to have the latest generation experience and equipment (25 gauge) to perform a vitrectomy in a timely manner, with the best chance of success ".

"For mininvasive vitrectomy, performed on the right eye and for a little over an hour – specify to Dr. Anselmetti – we used miniaturized instruments, 0.5 mm caliber, to destroy all the fibro-vascular membranes formed on the retina, to cause the detachment, with all the difficulties of intervention on a child so small and compromised. "

The "ROP" that affects premature births (thus are considered children born before the end of the 37th week of pregnancy, even if the real problem is that of pups below the 28th / 29th gestational week) the complete development of the retinal vessels at the time of birth and, often, also abnormal development, in the first weeks of life, leading to the formation of scar tissue that can cause retinal detachment and lead to the blindness.

"The ROP Center of Maria Vittoria has an unparalleled experience on newborns – comments ASL Director General City of Turin, Dr. Valerio Fabio Alberti – operates since 1984, counts to this day about 600 cases operated, including 30 per year, including 15% of premature infants from outside the region, such as the case of this child, who in the center of Maria Vittoria rediscovers the hope of preserving view ".

" It is equipped with advanced equipment which only allows examinations in very few other centers in Italy and is a flagship of health regional, which has also become a national reference – finds satisfied the general manager Alberti but beside the instruments of excellence highly specialized teams are indispensable to guarantee a [sérieuse] possibility of recovery, in case of very complex problems that accompany premature birth ".

The Modena boy is currently hospitalized in stable conditions at the Maria Vittoria intensive care unit, headed by Dr. Patrizia Savant Levet, where he will remain a few days under observation before returning to the garrison from the hospital of his place of residence. 19659017] rg

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