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Retinal detachment with macular holes in infants with retinopathy of prematurity

Omar F Ahmad1, Tatsuo Hirose

  • 1Schepens Retina Associates, Schepens Eye Research Institute, Department of Ophthalmology, Harvard Medical School, Boston, Mass, USA. ahmadof@mac.com

Archives of Ophthalmology (Chicago, Ill. : 1960)
|January 12, 2005
PubMed

Insights

Surgical repair of macular holes and retinal detachment in retinopathy of prematurity (ROP) infants is challenging. Athermal scleral buckling showed promise in reattaching retinas, offering a potential surgical choice.

Area of Science:

  • Ophthalmology
  • Neonatal Care
  • Surgical Innovation

Background:

  • Retinopathy of prematurity (ROP) can lead to severe visual impairment.
  • Macular holes and retinal detachment are known complications of ROP, particularly after vitreoretinal surgery.

Observation:

  • This study reviewed 5 infant cases (4 with ROP, 1 full-term) presenting with macular holes and retinal detachment.
  • All infants had prior vitreoretinal surgery before the macular hole diagnosis.

Findings:

  • Vitrectomy with fluid-air exchange was unsuccessful in closing macular holes in ROP infants.
  • Athermal scleral buckling successfully closed macular holes and reattached retinas in 4 infants, resulting in partial or complete retinal attachment and ambulatory vision.

Implications:

  • Scleral buckling emerges as a potentially superior surgical technique for managing macular holes with retinal detachment in ROP.
  • Further research into optimal surgical strategies for ROP-related retinal detachment is warranted.
Abstract

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