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Joshua Suelflow, Kimberly G Yen, Jane Edmond; Band keratopathy in pediatric patients treated with laser for retinopathy of prematurity. Invest. Ophthalmol. Vis. Sci. 2017;58(8):5557.
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© ARVO (1962-2015); The Authors (2016-present)
Band keratopathy is often found in patients who have uveitis or other inflammatory ocular conditions. We report the association and implications of band keratopathy in a series of pediatric patients with a history of laser-treated retinopathy of prematurity (ROP) who presented with band keratopathy without evidence of other disease.
We conducted a retrospective chart review of 6 patients.
10 eyes in 6 patients with a history of ROP treated with laser were evaluated due to concerns of having an unusual-appearing band keratopathy an average of 8.9 ± 2.8 years after the ROP laser treatment. 2/10 of the eyes also had received a lens-sparing pars plana vitrectomy. Mean estimated gestational age at birth was 24.2 ± 0.75 weeks; mean birthweight was 721 ± 158 grams. Average follow up was 2.7± 2.7 years. All patients were evaluated for other etiologies of the band keratopathy and none were found to have uveitis or other inflammatory conditions. Other associated ocular conditions were cataracts (2 eyes) and optic atrophy (5 eyes). The band keratopathy was visually significant in 3 patients (5 eyes) and required chelation in 1 eye, PTK in 1 eye, and both PTK and chelation in 1 eye. Average BCVA at last visit was 0.7 ± 0.4 LogMar for the 10 eyes.
Band keratopathy in the absence of uveitis, inflammatory ocular disease, or systemic disease can occur in patients who have had laser-treated ROP several years after the laser treatment. The band keratopathy can be visually significant and treatment is sometimes necessary in these patients.
This is an abstract that was submitted for the 2017 ARVO Annual Meeting, held in Baltimore, MD, May 7-11, 2017.
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