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Elena Gusson, Silvia Pignatto, Francesca Allegrini, Francesca Bosello, Giorgio Marchini, Antonio Capone; Long-term anatomic and visual outcomes of vitrectomy for retinopathy of prematurity (ROP) stage 4 B and 5.. Invest. Ophthalmol. Vis. Sci. 2017;58(8):5551.
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To assess long-term anatomic and visual outcomes of vitrectomy for treatment of retinal detachment associated with stages 4B and 5 retinopathy of prematurity (ROP). All babies in this series were diagnosed in a pediatric ophthalmology clinic in Italy, and sent for surgery to a single vitreoretinal pediatric surgeon in the United States. After surgery, patients were than again followed by the same Italian center of provenience.
We performed a retrospective review of medical records and data analyses of 70 eyes of 38 consecutive patients affected by stages 4B and 5 ROP that underwent vitrectomy from 1999 to 2013. Updated last follow-up, retinal reattachment status, visual acuity and long-term postoperative complications were evaluated.
The records of 70 eyes of 38 patients, including 23 eyes with stage 4B ROP and 47 eyes with stage 5 ROP, were retrospectively reviewed. Mean follow-up was 8.5 years (range 2-16). Long-term anatomic success (retinal attachment) was obtained in 41 eyes (58.5%) overall: in 19 eyes with stage 4B ROP (82.6%) and in 22 eyes with stage 5 ROP ( 46.8 %). Among the 41 eyes with attached retina, visual acuity better than form vision was obtained in 17 eyes (41.4 %). During follow-up, intraocular hemorrhage occurred in six eyes (8.6%). Additional complications encountered during follow up, corneal opacity in 3 eyes (4.3%), glaucoma in 10 eyes (14,3%) and phthisis in 5 eyes (7,1%), and were more common in eyes without retinal attachment.
After following-up for a mean of 8,5 years, the visual and anatomical success rates as well as complication rate following lensectomy-vitrectomy was encouraging for the correction of retinal detachment associated with ROP stage 4B and 5 . Retinal reattachment offers the opportunity for superior visual outcome as compared to the untreated natural history of advanced ROP- related retinal detachment.
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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