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J.L. Prenner, A.J. Capone, Jr., M.T. Trese; Visual Outcomes in Patients with Stage 4A Retinal Detachments From Retinopathy of Prematurity . Invest. Ophthalmol. Vis. Sci. 2003;44(13):2160.
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© ARVO (1962-2015); The Authors (2016-present)
PURPOSE: To assess the visual outcomes of patients with stage 4a retinal detachments secondary to retinopathy of prematurity. METHODS: Retrospective chart review of a consecutive series of children referred to the pediatric retina service of the Associated Retinal Consultants, Royal Oak, Michigan. The stage of retinal detachment for each patient was determined during an examination under anesthesia. All patients underwent a lens sparing pars plana vitrectomy with membrane peeling. Postoperative anatomic status was determined by ophthalmoscopy either during an office examination or during an examination under anesthesia. Visual outcomes were ascertained by consulting pediatric ophthalmologists using either Teller or Allen acuities. RESULTS: Eleven eyes of ten children had retinal detachments repaired. All eleven eyes had successful retinal reattachment. The macula appeared to be normal and without distortion in all eyes. Average logmar visual acuity was 20/62. Two eyes had acuities of 20/200 and one had an acuity of 20/150. All other eyes were 20/80 or better. Average age at time of visual acuity was 2.5 years. CONCLUSIONS: Patients with retinopathy of prematurity and stage 4a retinal detachments can be treated successfully with respect to anatomic and visual outcome utilizing lens sparing pars plana vitrectomy.
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