Early vitreous surgery for aggressive posterior retinopathy of prematurity.
نویسندگان
چکیده
PURPOSE To assess the efficacy of early vitrectomy for aggressive posterior retinopathy of prematurity (ROP) to stop progression of retinal detachment. DESIGN Retrospective, noncomparative, consecutive case series. METHODS Twenty-two eyes (15 patients) with aggressive posterior ROP underwent vitrectomy with or without lens sparing, because retinal photocoagulation failed to stop progression of fibrovascular proliferation, despite being performed early, densely, and with early retreatment. We assessed the status of retinal attachment and foveal formation ophthalmoscopically and the presence or absence of fixation of visual behavior. RESULTS Follow-up ranged from six to 12 months (mean, 9 months). Six eyes (100%) in which a lens-sparing vitrectomy was performed developed a large tractional retinal detachment. In contrast, the retinas were completely reattached in 16 eyes (100%) in which vitrectomy with lensectomy was performed, nine eyes (56%) had foveal configuration, and 14 eyes (88%) had steady fixation. CONCLUSIONS These results suggest that early vitrectomy is effective for preventing retinal detachment in aggressive posterior ROP.
منابع مشابه
Visual Outcomes After Early Vitreous Surgery for Aggressive Posterior Retinopathy of Prematurity
DESIGN Retrospective nonrandomized study of patients who underwent early vitreous surgery with lensectomywhen retinal detachment developed despite photocoagulation. Aphakic correction with spectacles or contact lenses and the use of orthoptics were continued postoperatively. The best-corrected visual acuity (VA) was measured in eyes with a total retinal reattachment using the preferential looki...
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ورودعنوان ژورنال:
- American journal of ophthalmology
دوره 142 4 شماره
صفحات -
تاریخ انتشار 2006