Purchase this article with an account.
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.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
the purpose of this study is to evaluate if lens sparing vitrectomy could represent a useful treatment for ROP in case of laser failure.
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).
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.
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
This PDF is available to Subscribers Only