What is a potential treatment consideration for Stage 3 ROP if plus disease develops?

Stage 3 Retinopathy of Prematurity (ROP) with plus disease indicates that there is significant retinal vascular abnormality, which poses a risk of severe visual impairment if not managed appropriately. In this scenario, surgical intervention becomes a vital treatment consideration.

When plus disease is present in Stage 3 ROP, it usually signifies a progression of the disease that could lead to retinal detachment and severe vision loss. The most common surgical procedure considered in these cases is laser photocoagulation or, in some cases, vitrectomy, depending on the severity and characteristics of the retinal changes. The goal of surgery in this context is to stabilize the disease and prevent further complications that could jeopardize the child's vision.

Other options such as no treatment or close monitoring are typically reserved for earlier stages of ROP where the risk of blindness is lower. Vision therapy would not address the underlying vascular changes and is not appropriate in this acute situation. Therefore, recognizing the urgency of the intervention necessary when plus disease develops in Stage 3 ROP is crucial for preserving vision and preventing further complications.