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R.L. Sun, R.R. Lakhanpal, T.A. Albini, E.R. Holz; Anatomic Success Rate After Three Port Lens–sparing Vitrectomy in Stage 4A or 4B Retinopathy of Prematurity . Invest. Ophthalmol. Vis. Sci. 2005;46(13):4134.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To assess the anatomic success after three–port lens–sparing vitrectomy (LSV) in stage 4A and 4B tractional retinal detachments due to retinopathy of prematurity Methods: A chart review and data evaluation of 108 eyes of 102 consecutive patients presenting with Stage 4A or 4B tractional retinal detachments that underwent primary LSV from February 1998 to January 2004 was performed. Results: Ninety–one of 108 eyes (84.3%), primary LSV eyes, maintained reattachment at final follow–up examination. Eight eyes (7.4%) progressed to stage 5 and were reattached with a second vitreoretinal procedure. Two eyes (1.9%) developed postoperative rhegmatogenous retinal detachment and were reattached with a secondary procedure. Seven eyes (6.5%) remained detached despite another vitreoretinal procedure. Conclusions: Eighty–four percent of eyes with 4A or 4B TRD secondary to ROP were reattached with a single three–port LSV procedure and over 90% were ultimately reattached by the final follow–up visit after additional vitreoretinal procedures, suggesting that this technique may interrupt progression of disease from stage 4 to stage 5 in the vast majority of cases.
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