mind & bodyNLM Circulating Now1940s–1950s · United States

Medically Manufactured: The Story of Retrolental Fibroplasia

the gist

In the 1940s and early 1950s, thousands of premature babies in the United States and elsewhere went blind from a disease called retrolental fibroplasia, now known as retinopathy of prematurity. Doctors had begun to place premature infants in incubators with high levels of oxygen because it helped them survive, not realising it damaged the immature blood vessels of the eye. In 1950 the baby later known as Stevie Wonder was born two months early in Saginaw, Michigan, spent 52 days in an incubator and lost his sight. By the mid-1950s controlled studies had shown the link, and oxygen levels were restricted. That cut the blindness but, for a time, more babies died from too little oxygen.

so what

The story is a lesson in unintended harm from a well-meant treatment, and in the need for controlled trials. Modern monitoring lets doctors balance oxygen to protect both life and vision.

fun fact

Stevie Wonder's blindness was caused by retinopathy of prematurity, and he became one of the best-selling musicians in history.

more on this

background

Retinopathy of prematurity (ROP) is a disease of the eye affecting prematurely born babies, where the blood vessels of the retina do not develop normally. It primarily affects premature babies who receive neonatal intensive care, especially when supplemental oxygen therapy is used to support breathing. The manifestations of ROP span a spectrum: incomplete development of retinal blood vessels; development of pathological (harmful) retinal blood vessels (which leak and bleed); retinal fibrosis (scarring); and finally retinal detachment. The outcomes of ROP ranges from spontaneous resolution to blindness.

From Wikipedia: Retinopathy of prematurity (CC BY-SA 4.0) ↗

U.S. National Library of Medicine