May 2003
Volume 44, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2003
Lens-sparing Vitrectomy for Tractional Stage 4A Retinopathy of Prematurity Retinal Detachments
Author Affiliations & Notes
  • A.A. Moshfeghi
    Ophthalmology, North Shore University Hospital/Long Island Jewish Health System, Great Neck, NY, United States
  • M.J. Banach
    Retina Consultants, Camp Hill, PA, United States
  • G.A. Salam
    Retina Consultants, Camp Hill, PA, United States
  • P.J. Ferrone
    Long Island Vitreoretinal Consultants, Great Neck, NY, United States
  • Footnotes
    Commercial Relationships  A.A. Moshfeghi, None; M.J. Banach, None; G.A. Salam, None; P.J. Ferrone, None.
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science May 2003, Vol.44, 604. doi:
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      A.A. Moshfeghi, M.J. Banach, G.A. Salam, P.J. Ferrone; Lens-sparing Vitrectomy for Tractional Stage 4A Retinopathy of Prematurity Retinal Detachments . Invest. Ophthalmol. Vis. Sci. 2003;44(13):604.

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

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Abstract

Abstract: : Purpose: To examine whether lens-sparing vitrectomy (LSV) is an effective surgery to treat progressive stage 4A Retinopathy of Prematurity (ROP). Methods: This was a retrospective, consecutive series of 32 eyes in 29 patients with progressive stage 4A ROP retinal detachments. Outcome measurements were retinal reattachment, foveal dragging, and cataract formation. Lowest zone of involvement, ROP staging, prior retinal surgery, and length of follow-up were also recorded. Results: Thirty of 32 eyes (94%) were reattached after one LSV. Five eyes had zone 1 disease and 27 eyes had zone 2 disease. All eyes had stage 4a disease (two had undergone a prior scleral buckling procedure). All eyes received prior laser ablation. Mean length of follow-up was one year. Two eyes had progression of retinal traction that was successfully treated with subsequent surgery. Two eyes developed cortical cataracts, one of which developed over a year after the LSV. These were treated successfully. Conclusions: LSV is a safe and effective treatment for progressive stage 4A ROP retinal detachments.

Keywords: retinopathy of prematurity • vitreoretinal surgery 
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