AIM: To report the clinical findings, management, and outcomes in eyes undergoing surgery for regressed retinopathy of prematurity (ROP) with vitreoretinal complications. METHOD: Retrospective review of 40 eyes of 32 patients with regressed ROP who presented between 1989 and 2001 at two UK referral centres. RESULTS: Of 29 eyes presenting with rhegmatogenous retinal detachment (RRD), 15 initially underwent a scleral buckling procedure and 14 initially underwent vitrectomy with or without additional buckling. Primary surgery was anatomically successful in 11/15 eyes that underwent a non-vitrectomy retinal detachment repair and 8/14 that required vitrectomy. The final reattachment rate after reoperation was 28/29 eyes. Median visual acuity improved from 6/60 to 6/36 following retinal detachment repair. A further 11 eyes of eight patients from this series underwent prophylactic surgery, laser, or cryotherapy for predisposing vitreoretinal pathology and/or retinal breaks, all of which were stabilised. CONCLUSIONS: In eyes with RRD and signs of regressed ROP successful reattachment of the retina can be achieved using either vitrectomy or external surgery with an associated overall improvement in visual acuity. A range of external and closed microsurgical approaches is required to effectively deal with the diverse manifestations of regressed ROP.
AIM: To report the clinical findings, management, and outcomes in eyes undergoing surgery for regressed retinopathy of prematurity (ROP) with vitreoretinal complications. METHOD: Retrospective review of 40 eyes of 32 patients with regressed ROP who presented between 1989 and 2001 at two UK referral centres. RESULTS: Of 29 eyes presenting with rhegmatogenous retinal detachment (RRD), 15 initially underwent a scleral buckling procedure and 14 initially underwent vitrectomy with or without additional buckling. Primary surgery was anatomically successful in 11/15 eyes that underwent a non-vitrectomy retinal detachment repair and 8/14 that required vitrectomy. The final reattachment rate after reoperation was 28/29 eyes. Median visual acuity improved from 6/60 to 6/36 following retinal detachment repair. A further 11 eyes of eight patients from this series underwent prophylactic surgery, laser, or cryotherapy for predisposing vitreoretinal pathology and/or retinal breaks, all of which were stabilised. CONCLUSIONS: In eyes with RRD and signs of regressed ROP successful reattachment of the retina can be achieved using either vitrectomy or external surgery with an associated overall improvement in visual acuity. A range of external and closed microsurgical approaches is required to effectively deal with the diverse manifestations of regressed ROP.
Authors: G E Quinn; V Dobson; J Kivlin; L M Kaufman; M X Repka; J D Reynolds; R A Gordon; R J Hardy; B Tung; R A Stone Journal: Ophthalmology Date: 1998-07 Impact factor: 12.079
Authors: Abdualrahman E Hamad; Omar Moinuddin; Michael P Blair; Sidney A Schechet; Michael J Shapiro; Polly A Quiram; Danny A Mammo; Audina M Berrocal; Supalert Prakhunhungsit; Linda A Cernichiaro-Espinosa; Shizuo Mukai; Yoshihiro Yonekawa; Cindy Ung; Eric R Holz; C Armitage Harper; Ryan C Young; Cagri G Besirli; Aaron Nagiel; Thomas C Lee; Mrinali P Gupta; Mark K Walsh; Joseph A Khawly; J Peter Campbell; Andres Kychenthal; Eric D Nudleman; Josh E Robinson; Mary Elizabeth Hartnett; Charles M Calvo; Emmanuel Y Chang Journal: Ophthalmol Retina Date: 2019-12-24
Authors: Adam M Hanif; Rebekah H Gensure; Brittni A Scruggs; Jamie Anderson; Michael F Chiang; J Peter Campbell Journal: J AAPOS Date: 2021-12-04 Impact factor: 1.325