Purchase this article with an account.
C. Sonnie, J. E. Sears; Scleral Buckling Does Not Improve Anatomic Success When Used in Combination with Lens Sparing Vitrectomy for Stage 4 Retinopathy of Prematurity. Invest. Ophthalmol. Vis. Sci. 2007;48(13):3113.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
To compare the anatomic outcome of lens-sparing vitrectomy to combined lens-sparing vitrectomy and scleral buckle in surgical repair of retinopathy of prematurity (ROP) Stage 4 retinal detachment.
Consecutive cases of Stage 4 ROP detachment surgery treated with lens-sparing vitrectomy alone or combined lens-sparing vitrectomy and scleral buckle were reviewed retrospectively. Patient characteristics including gestational age, birth weight, gender, corrected gestational age at time of surgery, surgical procedure, anatomic outcome, ability to fix and follow, and progression of cataract or glaucoma were recorded. The outcome of lens-sparing vitrectomy alone was compared to lens-sparing vitrectomy and scleral buckle.
Twenty-one eyes of fifteen consecutive patients with ROP detachment were enrolled. Twelve of twenty-one eyes underwent combined procedure (SB/LSV) and the remaining nine eyes underwent lens-sparing vitrectomy alone (LSV). Eighteen of twenty-one eyes (86%) achieved retinal reattachment overall, with 7 of 8 (87%) Stage 4B detachments repaired in one surgery. Eleven of thirteen (85%) Stage 4A detachments were repaired in one surgery. Of the cases that failed, two were inclusive to the SB/LSV (2/12; 16%) and one to the LSV group (1/9; 11%).
The data suggests that scleral buckle adds little to the success or failure of lens-sparing vitrectomy and therefore is an unnecessary adjunct to LSV for Stage 4 ROP.
This PDF is available to Subscribers Only