Patient's question:
Experts, good! The baby is now four months old. Due to hypoxia in the brain at birth, the brain tissue density is not good. The doctor recommended hyperbaric oxygen therapy (originally, it was administered for a few days, but it was stopped because the baby had pneumonia at the time. The baby received three courses of neuroprotector, which were later discontinued due to pneumonia. The doctor then suggested a CT scan at four months to assess the situation and decide whether to continue with neuroprotectors and hyperbaric oxygen therapy). Now the baby is doing well. A CT scan was performed, and half of the pediatric experts at the hospital recommended three more courses of neuroprotectors and hyperbaric oxygen therapy, while some experts said that only neuroprotectors are needed and that hyperbaric oxygen therapy should not be used, as it can easily damage the retina.Doctor's answer:
It is recommended to continue using medications that support brain nerve health, and completing three more courses of treatment would be beneficial for the child. Retinopathy caused by oxygen (formerly known as retinopathy of prematurity) is more common in premature infants, while it is rarely seen in full-term infants. This is because the retinal blood vessels of premature infants have not fully developed, leading to the formation of retinal neovascularization and fibrosis. Premature infants require oxygen therapy, and oxygen therapy is a major risk factor for retinopathy of prematurity. The underdeveloped retinal blood vessels are highly sensitive to oxygen. High concentrations of oxygen can cause retinal vessel constriction or occlusion, leading to retinal hypoxia, tractional retinal detachment, and ultimately resulting in、. From this perspective, as long as your child is not a premature infant, and even if they are, at four months old, their retina has almost fully developed, and the likelihood of developing an oxygen-related illness is also relatively low. Personally, I believe that hyperbaric oxygen therapy would have minimal impact on your child's retina. However, whether to undergo hyperbaric oxygen therapy again depends on your decision after weighing the pros and cons. My opinion is for reference only. Additionally, I would like to remind you that even if your child shows no signs of developmental delays, it is advisable to start early intervention as soon as possible. The child is already at a disadvantage from the starting line—why not catch up earlier? Do you agree? I hope my answer is helpful to you.