P K Shah1, V Narendran1, N Kalpana1. 1. Department of Paediatric Retina and Ocular Oncology, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Coimbatore, India.
Abstract
PURPOSE: To report the safety and efficacy of simultaneous bilateral 25-gauge lens-sparing vitrectomy for vascularly active stage 4 retinopathy of prematurity (ROP). METHODS: Retrospective, noncomparative, consecutive case series. Twenty eyes of 10 babies who presented with vascularly active stage 4 ROP in both the eyes underwent simultaneous bilateral 25-gauge lens-sparing vitrectomy. After completing surgery for one eye, the other eye was re-prepped as performed before starting any new case of a different patient and an entire new set of disposable 25-gauge instruments were used. During the post-operative period parents were advised to keep separate eye drops for each eye and to wash their hands in between switching the eyes to put the drops. RESULTS: The mean follow-up was 8.7 months (range 4-17 months). None of the cases developed any signs of infection. The anatomic success rate for stage 4a was 100% (11/11 eyes) and for stage 4b was 8/9 eyes (89%). CONCLUSION: These results show that simultaneous bilateral 25-gauge lens-sparing vitrectomy for stage 4 ROP is a safe and effective procedure with a good outcome provided both eyes of the baby are treated as eyes of two different patients.
PURPOSE: To report the safety and efficacy of simultaneous bilateral 25-gauge lens-sparing vitrectomy for vascularly active stage 4 retinopathy of prematurity (ROP). METHODS: Retrospective, noncomparative, consecutive case series. Twenty eyes of 10 babies who presented with vascularly active stage 4 ROP in both the eyes underwent simultaneous bilateral 25-gauge lens-sparing vitrectomy. After completing surgery for one eye, the other eye was re-prepped as performed before starting any new case of a different patient and an entire new set of disposable 25-gauge instruments were used. During the post-operative period parents were advised to keep separate eye drops for each eye and to wash their hands in between switching the eyes to put the drops. RESULTS: The mean follow-up was 8.7 months (range 4-17 months). None of the cases developed any signs of infection. The anatomic success rate for stage 4a was 100% (11/11 eyes) and for stage 4b was 8/9 eyes (89%). CONCLUSION: These results show that simultaneous bilateral 25-gauge lens-sparing vitrectomy for stage 4 ROP is a safe and effective procedure with a good outcome provided both eyes of the baby are treated as eyes of two different patients.
Authors: Yoshihiro Yonekawa; Wei-Chi Wu; Shunji Kusaka; Joshua Robinson; Daishi Tsujioka; Kai B Kang; Michael J Shapiro; Tapas R Padhi; Lubhani Jain; Jonathan E Sears; Ajay E Kuriyan; Audina M Berrocal; Polly A Quiram; Amanda E Gerber; R V Paul Chan; Karyn E Jonas; Sui Chien Wong; C K Patel; Ashkan M Abbey; Rand Spencer; Michael P Blair; Emmanuel Y Chang; Thanos D Papakostas; Demetrios G Vavvas; Robert A Sisk; Philip J Ferrone; Robert H Henderson; Karl R Olsen; M Elizabeth Hartnett; Felix Y Chau; Shizuo Mukai; Timothy G Murray; Benjamin J Thomas; P Anthony Meza; Kimberly A Drenser; Michael T Trese; Antonio Capone Journal: Ophthalmology Date: 2016-05-22 Impact factor: 12.079