Professor Lu Hai: Pediatric Retinal Disease and Ocular Trauma Specialist
Professor Lu Hai is a senior ophthalmologist, professor, and director of Pediatric Retinal Disease at Beijing Tongren Hospital. His clinical work focuses on retinopathy of prematurity, complex pediatric retinal disorders, vitreoretinal microsurgery, severe ocular trauma, and combined cataract and retinal surgery.
Clinical Focus
- retinopathy of prematurity;
- pediatric retinal detachment;
- congenital and developmental vitreoretinal disease;
- complex vitreoretinal microsurgery;
- severe open- and closed-globe trauma;
- traumatic cataract and retained foreign body;
- combined cataract and retinal surgery;
- recurrent disease after previous eye operations; and
- second opinions for high-risk pediatric eye surgery.
Retinopathy of Prematurity
Retinopathy of prematurity, or ROP, affects developing retinal blood vessels in some premature infants. Severe disease can cause retinal detachment and permanent vision loss if screening and treatment are delayed.
Screening timing depends on gestational age, birth weight, neonatal course, oxygen exposure, and local guidelines. Follow-up must continue until the retina is fully vascularized or the ophthalmology team confirms that risk has passed.
Treatment for ROP
Treatment may include retinal laser, intravitreal anti-VEGF medicine, surgery for retinal detachment, or a combination. The choice depends on disease zone, stage, plus disease, infant health, and ability to maintain long-term follow-up.
Anti-VEGF treatment can allow retinal vascularization to continue but may require prolonged surveillance because recurrence can occur later. Laser has a longer-established follow-up profile but can affect peripheral retina.
Pediatric Retinal Detachment
Retinal detachment in children differs from adult disease and can be associated with trauma, congenital anomalies, high myopia, previous surgery, inflammatory disease, or inherited vitreoretinal disorders.
Treatment may involve scleral buckle, vitrectomy, lens surgery, membrane removal, laser, gas, or silicone oil. Prognosis depends on cause, duration, macular involvement, amblyopia, and optic-nerve function.
Complex Vitreoretinal Surgery
Modern small-gauge vitrectomy can address bleeding, traction, membranes, infection, foreign bodies, and retinal detachment through very small incisions. Pediatric eyes require specialized instruments, anesthesia, and postoperative care.
Professor Lu has helped advance minimally invasive vitreoretinal surgery for difficult childhood eye disease in China.
Severe Eye Trauma
Eye trauma can cause corneal or scleral wounds, lens damage, bleeding, retinal detachment, infection, optic-nerve injury, or a retained foreign body. Emergency priorities are protection of the eye, prevention of infection, and repair of open injuries.
Further reconstruction may be staged after the eye is stable. Visual recovery cannot be predicted from appearance alone and depends on the retina, macula, optic nerve, infection, and tissue loss.
Combined Cataract and Retinal Surgery
Some patients need cataract removal and vitreoretinal surgery during the same operation. This can improve access to the retina and reduce the need for another procedure, but lens strategy should consider age, eye growth, inflammation, trauma, and future visual rehabilitation.
Infant and Child Eye Screening
Wide-field digital imaging can help document the retina in infants who cannot cooperate with standard examination. Professor Lu has contributed to research on universal ocular screening using wide-field imaging.
Imaging supports but does not replace examination by a trained pediatric retinal specialist.
Who May Consider a Consultation?
- premature infants with ROP or uncertain screening follow-up;
- children with retinal detachment or congenital vitreoretinal disease;
- children needing vitrectomy or repeat retinal surgery;
- patients with severe ocular trauma or a retained foreign body;
- patients with traumatic cataract and retinal injury;
- patients needing combined cataract and retinal surgery;
- families seeking prognosis after complex pediatric eye surgery; or
- patients seeking a second opinion before high-risk intervention.
Medical Records to Prepare
- a concise pregnancy, birth, neonatal, eye, and treatment timeline;
- gestational age, birth weight, oxygen, and neonatal intensive-care records;
- ROP screening diagrams, wide-field images, and treatment details;
- visual-acuity, eye-pressure, and refraction records;
- fundus photographs, OCT, angiography, ultrasound, MRI, and CT;
- all laser, injection, trauma, cataract, and retinal operative reports;
- implant and silicone-oil information;
- infection cultures and medication records when relevant;
- short videos showing visual behavior in infants or children; and
- a clear list of eye-preservation and visual-development goals.
Planning an International Consultation
Suspected open-globe injury, sudden vision loss, severe eye pain, infection, or a premature infant reaching the required ROP screening age needs prompt local ophthalmic care. Travel must not delay time-sensitive treatment.
Stable patients should confirm whether original images, videos, and operative records can be reviewed. Remote medical-record review requires physician authorization. Final diagnosis and treatment eligibility usually require in-person dilated examination, often with pediatric anesthesia planning.
How CMCS Can Assist
CMCS – China Medical Concierge Shanghai is an independent medical concierge and health management company, not a hospital. We assist international patients and families with organizing and translating ophthalmology and neonatal records, identifying an appropriate specialist, requesting appointment availability, arranging interpretation, and planning medical travel in China.
Access to Professor Lu, remote review, laser, injection, surgery, or a particular treatment is subject to doctor and hospital approval. CMCS does not guarantee appointments, eye preservation, visual recovery, treatment eligibility, or clinical outcomes.
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Important Note
Doctor titles, clinical roles, medicines, procedures, devices, and appointment arrangements may change. This profile is based on the supplied verified research document and is for general information only. It does not replace assessment by a qualified pediatric retinal team.
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