May 2007
Volume 48, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2007
LSV 25 Gauge in ROP
Author Affiliations & Notes
  • A. Baldascino
    Ophthalmology, Catholic University, Rome, Italy
  • T. Caporossi
    Ophthalmology, Catholic University, Rome, Italy
  • D. Lepore
    Ophthalmology, Catholic University, Rome, Italy
  • L. Orazi
    Ophthalmology, Catholic University, Rome, Italy
  • M. M. Pagliara
    Ophthalmology, Catholic University, Rome, Italy
  • C. Angora
    Ophthalmology, Catholic University, Rome, Italy
  • R. De Santis
    Ophthalmology, Catholic University, Rome, Italy
  • G. D'Amico
    Ophthalmology, Catholic University, Rome, Italy
  • F. Molle
    Ophthalmology, Catholic University, Rome, Italy
  • E. Balestrazzi
    Ophthalmology, Catholic University, Rome, Italy
  • Footnotes
    Commercial Relationships A. Baldascino, None; T. Caporossi, None; D. Lepore, None; L. Orazi, None; M.M. Pagliara, None; C. Angora, None; R. De Santis, None; G. D'Amico, None; F. Molle, None; E. Balestrazzi, None.
  • Footnotes
    Support None.
Investigative Ophthalmology & Visual Science May 2007, Vol.48, 3109. doi:
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      A. Baldascino, T. Caporossi, D. Lepore, L. Orazi, M. M. Pagliara, C. Angora, R. De Santis, G. D'Amico, F. Molle, E. Balestrazzi; LSV 25 Gauge in ROP. Invest. Ophthalmol. Vis. Sci. 2007;48(13):3109.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose:: the purpose of this study is to evaluate if lens sparing vitrectomy could represent a useful treatment for ROP in case of laser failure.

Methods:: from January 1995 to September 2006, 791 inborn preterms were screened for acute ROP in the NICU at the Catholic University Hospital in Rome. ROP was diagnosed in 276 (34.9%) preterms; were treated: 28 eyes with cryotherapy and 98 with laser. From October 2004 lens-sparring vitrectomy was performed in babies who progressed to stage 5 or/and stage 4b despite laser treatment. In that period seven babies (14eyes) progressed to stage 5 and two babies (4 eyes) to stage 4b despite laser. Lens-sparring vitrectomy (LSV) was performed in these cases at a mean postconceptional age of 39,76 weeks (range 33,1-43,5wks).

Results:: structural outcomes at minimum three-month follow-up are presented here. In three babies (5 eyes) partial retinal reattachment was achieved. Two eyes from 1 baby showed a massive retinal degeneration despite partial reattachment. Resumption of preretinal fibrous proliferation requiring reintervention, was observed in 11 eyes.

Conclusions:: From literature LSV is the only therapy porposed for ROP after laser failure. In our experience only 5 on 18 eyes showed partial or total retinal reattachment. LSV usefulness is tehrefore questionable. Key Words: retinopathy of prematurity

Keywords: retinopathy of prematurity • vitreoretinal surgery 
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