Lens-sparing vitrectomy for stage 4 retinopathy of prematurity

Ophthalmology. 2004 Dec;111(12):2274-7. doi: 10.1016/j.ophtha.2004.05.030.

Abstract

Purpose: To investigate the anatomic results of lens-sparing vitrectomy for tractional stage 4 retinopathy of prematurity (ROP).

Design: Retrospective, noncomparative consecutive case series.

Participants: Thirty-seven eyes (24 patients) with tractional stage 4 ROP.

Intervention: Lens-sparing vitrectomy.

Main outcome measure: Anatomic status of the retina.

Results: Twenty-five eyes had stage 4A ROP, and 12 eyes had stage 4B ROP. With a median follow-up of 13 months (range, 6-27), 32 of 37 eyes (86%) had complete reattachment of the retina. Among eyes with 4A ROP, 21 of 25 eyes (84%) had complete retinal reattachment. Among eyes with 4B ROP, 11 of 12 eyes (92%) had complete retinal reattachment. At last follow-up, 29 of 37 eyes (78%) were able to fix and follow.

Conclusions: These results indicate that lens-sparing vitrectomy is effective for achieving retinal reattachment in tractional stage 4 ROP. This article contains additional online-only material available at .

MeSH terms

  • Female
  • Gestational Age
  • Humans
  • Infant, Newborn
  • Male
  • Retinal Detachment / surgery*
  • Retinopathy of Prematurity / classification
  • Retinopathy of Prematurity / surgery*
  • Retrospective Studies
  • Visual Acuity
  • Vitrectomy / methods*