anatomical outcome of 25-gauge vitrectomy associated with scleral buckling in stage 5 retinopathy of prematurity: a case series study
نویسندگان
چکیده
purpose : our purpose is to determine the structural outcome of 25-gauge vitrectomy in addition to scleral buckling in stage 5 retinopathy of prematurity (rop). methods : in a prospective interventional case series, 21 eyes with stage 5 rop underwent 25-gauge vitrectomy and scleral buckling. demographic data, disease activity (having plus disease or neovascularization) and the procedure manner were recorded. they were followed 12±2 (range 8-18) months. anatomical outcomes were assessed during the follow-ups. success rate was defined as totally reattached retina. in case of vascularly active disease, some eyes received laser therapy or intravitreal bevacizumab before progression to stage 5 rop. results : twenty one eyes of 16 patients with stage 5 rop with mean gestational age (ga) of 28±2 weeks and birth weight (bw) of 1190± 314 g were included. lensectomy was done in 81% of eyes. total reattachment was achieved in 52.3% (success rate) and partial reattachment in 23.8% of the eyes. reattachments were usually obtained during the first 2-4 weeks. redetachment occurred in three eyes. two of them redetached at month 10 and the other one at month 14. final total reattachment was achieved in 38% of the eyes. vascularly active disease was seen in 42.8% of the eyes before operation. success rate was inversely related to disease activity (p=0.044) and directly related to presurgery treatments (p=0.024) [laser therapy or intravitreal bevacizumab]. conclusion : the structural outcome of 25-gauge vitrectomy in addition to scleral buckling in stage 5 rop is promising and vascularly active disease will lower the outcome. iranian journal of ophthalmology 201022(2):25-31 © 2010 by the iranian society of ophthalmology
منابع مشابه
Anatomical Outcome of 25-Gauge Vitrectomy Associated with Scleral Buckling in Stage 5 Retinopathy of Prematurity: A Case Series Study
Purpose: Our purpose is to determine the structural outcome of 25-gauge vitrectomy in addition to scleral buckling in stage 5 retinopathy of prematurity (ROP). Methods: In a prospective interventional case series, 21 eyes with stage 5 ROP underwent 25-gauge vitrectomy and scleral buckling. Demographic data, disease activity (having plus disease or neovascularization) and the procedure manner we...
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15 صفحه اولOutcomes of transconjuctival sutureless 27-gauge vitrectomy for stage 4 retinopathy of prematurity
AIM To report our initial experience with lens-sparing vitrectomy for stage 4 retinopathy of prematurity using the 27-gauge (G) system. METHODS This retrospective case series involved nine eyes of five babies with active stage 4 ROP, who underwent 27-G lens-sparing vitrectomy. Surgery was done using 27-G valved cannulas and sclerotomies were made 1.5 mm from the limbus. Bilateral sequential v...
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PURPOSE To describe the results of lens-sparing vitrectomy for the correction of retinal detachment associated with retinopathy of prematurity (ROP) and its associated complications. METHODS Seventeen patients who underwent a lens-sparing vitrectomy for stage 4 and stage 5 ROP with plus disease at Seoul National University Children' s Hospital between 1999 and 2003 were enrolled in this study...
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OBJECTIVE To evaluate the outcome of a novel, modified 23-gauge vitrectomy system in the treatment of stage 4 retinal detachment in retinopathy of prematurity. METHODS Consecutive patients with stage 4 retinopathy of prematurity treated with modified 23-gauge vitrectomy were included in this medical record review. Major novel modifications included the use of a small infusion cannula, a 20-ga...
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عنوان ژورنال:
journal of current ophthalmologyجلد ۲۲، شماره ۲، صفحات ۲۵-۳۱
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