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[Pattern retinal laser coagulation in treatment of aggressive posterior retinopathy of prematurity]
Insights
Pattern scanning laser coagulation offers a faster, safer treatment for aggressive posterior retinopathy of prematurity (ROP). This method reduced procedure time and improved efficacy compared to conventional laser treatment in premature infants.
Area of Science:
- Ophthalmology
- Neonatal Care
Background:
- Retinopathy of prematurity (ROP) is a leading cause of visual impairment in premature infants.
- Aggressive posterior ROP presents a significant challenge in treatment due to its severity and location.
Purpose of the Study:
- To evaluate the efficacy and safety of pattern scanning laser coagulation versus conventional diode laser coagulation for aggressive posterior ROP.
- To compare treatment duration and outcomes between the two laser modalities.
Main Methods:
- A comparative study involving 25 premature neonates (50 eyes) diagnosed with aggressive posterior ROP.
- Group 1: Pattern scanning laser coagulation (26 eyes).
- Group 2: Conventional diode laser coagulation, "point-by-point" technique (24 eyes).
Main Results:
- Pattern scanning laser coagulation sessions averaged 15 minutes, significantly shorter than the 40 minutes for conventional laser.
- Achieved a 77% stationary regression rate in the pattern scanning group, compared to 71% in the conventional group.
- Pattern scanning laser coagulation demonstrated improved efficacy and safety, reducing treatment and narcosis duration.
Conclusions:
- Pattern scanning laser coagulation is a highly effective treatment for aggressive posterior ROP in premature infants.
- This advanced technique offers significant advantages in reducing procedure time, anesthesia requirements, and enhancing overall treatment safety and efficacy.
Abstract:
Efficacy of pattern scanning laser coagulation in treatment of aggressive posterior retinopathy of prematurity (ROP) was evaluated. 25 premature neonates (50 eyes) with aggressive posterior ROP were examined and divided into two groups. 13 infants (26 eyes) of the 1st group underwent pattern laser coagulation performed using automanual scanning laser ophthalmologic coagulator. In the 2nd group diod laser coagulation was performed using conventional "point-by-point" technique in 12 infants (24 eyes). Post OP follow-up was 3-6 months. The average duration of laser coagulation session was 15 min in the 1st and 40 min in the 2nd group. The pattern of clinical regression was similar in both groups. In the Ist group stationary regression of aggressive posterior ROP was achieved in 77% patients. The clinical efficacy of treatment in the 2nd group was 71%. Pattern scanning laser coagulation in treatment of aggressive posterior ROP significantly allows to reduce duration of treatment session and narcosis of premature infant, improve efficacy and safety of laser procedure.
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