June 2022
Volume 63, Issue 7
Open Access
ARVO Annual Meeting Abstract  |   June 2022
Acute traction retinal detachment (stage 4) in retinopathy of prematurity: outcomes of endoscopic vitrectomy in 99 consecutive cases.
Author Affiliations & Notes
  • Sui Chien Wong
    Great Ormond Street Hospital for Children NHS Foundation Trust, London, London, United Kingdom
    Moorfields Eye Hospital NHS Foundation Trust, London, London, United Kingdom
  • James Wawrzynski
    University College London, London, London, United Kingdom
  • Damien Yeo
    Alder Hey Children's Hospital, Liverpool, Merseyside, United Kingdom
  • Robert H Henderson
    Great Ormond Street Hospital for Children NHS Foundation Trust, London, London, United Kingdom
  • Chetan K Patel
    Great Ormond Street Hospital for Children NHS Foundation Trust, London, London, United Kingdom
    Oxford University Hospitals NHS Foundation Trust, Oxford, Oxfordshire, United Kingdom
  • Footnotes
    Commercial Relationships   Sui Chien Wong DORC International, Code C (Consultant/Contractor), BVI, Code C (Consultant/Contractor); James Wawrzynski None; Damien Yeo None; Robert Henderson None; Chetan Patel None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2022, Vol.63, 31. doi:
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      Sui Chien Wong, James Wawrzynski, Damien Yeo, Robert H Henderson, Chetan K Patel; Acute traction retinal detachment (stage 4) in retinopathy of prematurity: outcomes of endoscopic vitrectomy in 99 consecutive cases.. Invest. Ophthalmol. Vis. Sci. 2022;63(7):31.

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

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Abstract

Purpose : To evaluate the safety and efficacy of endoscopic vitrectomy (Endo-Vit) for stage 4 retinopathy of prematurity (ROP)

Methods : Consecutive non-comparative case series of surgery of all UK cases for traction RD in ROP (stage 4) between 2015-2021. Inclusion criteria was stage 4A or 4B ROP. Stage 5 cases were excluded. All cases had primary simultaneous high-resolution 19 gauge endoscopy and microscope-based visualisation, with standard 23 gauge vitrectomy

Results : Included were 99 eyes of 57 patients. Mean gestational age, birth weight and follow-up were 25.9 weeks, 789g and 27.4 months, respectively. RD stage was 4A in 54 eyes, 4B in 34 eyes and 4B/5 in 11 eyes. Prior laser was done in 84%, and intravitreal bevacizumab in 28%. Median number of surgeries was 1. Primary retinal re-attachment was 82% overall, 90% in stage 4A, 85% in stage 4B, and 36% in stage 4B/5. Primary lensectomy was required in 0%. Iatrogenic break occurred in 4 eyes. Postoperative cataract occurred in 4 eyes, all of whom developed 12 months after surgery. Visual acuity data was available in 92%, with overall fix and follow vision in 71%, logMAR 2.0 or better in 52%, and logMAR 1.0 or better in 29%.

Conclusions : Endoscopic visualisation significantly reduces the need for primary lensectomy in complex traction retinal detachment in retinopathy of prematurity, with favourable anatomic outcomes. It is a useful adjunct to microscope-based visualisation.

This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.

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