July 2018
Volume 59, Issue 9
Open Access
ARVO Annual Meeting Abstract  |   July 2018
Acute retinal detachment in retinopathy of prematurity: UK national outcomes of endoscopic vitrectomy in 51 consecutive cases.
Author Affiliations & Notes
  • Sui Chien Wong
    Ophthalmology, Great Ormond Street Hospital for Children, London, United Kingdom
    Moorfields Eye Hospital, London, United Kingdom
  • Damien Yeo
    Ophthalmology, Great Ormond Street Hospital for Children, London, United Kingdom
  • Robert Henderson
    Ophthalmology, Great Ormond Street Hospital for Children, London, United Kingdom
  • CK Patel
    Ophthalmology, Great Ormond Street Hospital for Children, London, United Kingdom
Investigative Ophthalmology & Visual Science July 2018, Vol.59, 3757. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to authenticated users only.
      Sign In or Create an Account ×
    • Get Citation

      Sui Chien Wong, Damien Yeo, Robert Henderson, CK Patel; Acute retinal detachment in retinopathy of prematurity: UK national outcomes of endoscopic vitrectomy in 51 consecutive cases.. Invest. Ophthalmol. Vis. Sci. 2018;59(9):3757.

      Download citation file:


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

      ×
  • Supplements
Abstract

Purpose : To evaluate the efficacy and safety of endoscopic vitrectomy (Endo-Vit) for acute traction RD in ROP.

Methods : This was a noncomparative consecutive case series of surgery for traction RD in ROP (stage 4), between November 2014 and August 2017. Inclusion criteria was stage 4A, 4B or 4B/5 ROP. True Stage 5 cases were excluded. All cases had primary simultaneous high-resolution 19 gauge endoscopy (Endo-Vit) and 23 gauge vitrectomy.

Results : Fifty-one eyes of 35 patients were included. Mean gestational age, birth weight and follow-up were 26.0 weeks, 801g and 4 months, respectively. RD stage was 4A in 24 eyes (47%), 4B in 21 eyes (41%) and 4B/5 in 6 eyes (12%). Forty-three eyes (84%) had prior laser treatment, and 16 eyes (31%) prior intravitreal bevacizumab. Median age at primary Endo-Vit was 44.7 weeks post menstrual age. Median number of surgeries was 1. Bilateral simultaneous surgery was done in 16 patients (46%). Primary retinal re-attachment was 86% overall, 96% in stage 4A, 81% in stage 4B, and 67% in stage 4B/5. None required primary lensectomy. Intraoperative complications occurred in 4 eyes (8%), with 1 lens touch and 3 iatrogenic retinal breaks. Postoperative complications occurred in 2 eyes (4%), with 1 glaucoma and 1 treatment-requiring cataract.

Conclusions : Endoscopic vitrectomy significantly reduces the need for primary lensectomy in high risk traction RD in ROP compared to published outcomes, with favourable anatomic outcomes particularly with earlier intervention.

This is an abstract that was submitted for the 2018 ARVO Annual Meeting, held in Honolulu, Hawaii, April 29 - May 3, 2018.

×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×