May 2005
Volume 46, Issue 13
Free
ARVO Annual Meeting Abstract  |   May 2005
Evolution of Zone 1 ROP by Ultrasonography – Implications for Early Surgical Intervention
Author Affiliations & Notes
  • D.H. Kauffmann Jokl
    Ophthalmology,
    Columbia Presbyterian Medical Center, New York, NY
    Ophthalmology, New York Medical College, Valhalla, NY
  • R.H. Silverman
    Ophthalmology, Weill Medical College of Cornell University, New York, NY
  • S.A. Kane
    Ophthalmology,
    Columbia Presbyterian Medical Center, New York, NY
  • M.F. Chiang
    Ophthalmology,
    Columbia Presbyterian Medical Center, New York, NY
  • R. Lopez
    Ophthalmology,
    Columbia Presbyterian Medical Center, New York, NY
  • S.L. Nemerofsky
    Pediatrics,
    Columbia Presbyterian Medical Center, New York, NY
  • Footnotes
    Commercial Relationships  D.H. Kauffmann Jokl, None; R.H. Silverman, None; S.A. Kane, None; M.F. Chiang, None; R. Lopez, None; S.L. Nemerofsky, None.
  • Footnotes
    Support  Research to Prevent Blindness, Quantel Medical
Investigative Ophthalmology & Visual Science May 2005, Vol.46, 4098. doi:
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      D.H. Kauffmann Jokl, R.H. Silverman, S.A. Kane, M.F. Chiang, R. Lopez, S.L. Nemerofsky; Evolution of Zone 1 ROP by Ultrasonography – Implications for Early Surgical Intervention . Invest. Ophthalmol. Vis. Sci. 2005;46(13):4098.

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

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Abstract

Abstract: : Purpose: We have previously investigated the use of 10 MHz and 20 MHz ultrasound (US) for detection of all stages of retinopathy of prematurity (ROP). We now show by 20 MHz ultrasound the evolution of zone 1 ROP Methods: A 26 week gestation neonate was examined at 7 weeks post–delivery at cribside with a 20 MHz US system (Quantel Medical). The exam was performed through closed eyelids by placing the probe in a fluid–filled latex sleeve allowing optimal placement of the probe's focal zone. Exams were performed over a 5 week period. Results: Initial US examination OU revealed a flat retina with a translucent tangential membrane in both eyes, not detectable by ophthalmoscopy, at the anterior margins of the zone 1 ROP. Four weeks later, an additional tangential cyclitic membrane just posterior to the lens along with vitreous hemorrhage was noted. One week later, hemorrhagic organization and centripital contraction of both membranes was seen causing circumferential traction and a funnel retinal detachment. A vitrectomy was then performed. Conclusions: 20 MHz ultrasound is an accurate method for following the course of stage 1 ROP and provide clinical information that may be of value in the earlier surgical intervention for zone 1 ROP.

Keywords: retinopathy of prematurity • imaging/image analysis: clinical • imaging methods (CT, FA, ICG, MRI, OCT, RTA, SLO, ultrasound) 
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