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Rapid onset anterior segment complication following diode laser photocoagulation for retinopathy of prematurity: a

Lidia Puchalska-Niedbał1, Monika Modrzejewska, Urszula Kulik

  • 1Department of Ophthalmology, Pomeranian Medical University, Szczecin, Poland.

Wideochirurgia I Inne Techniki Maloinwazyjne = Videosurgery and Other Miniinvasive Techniques
|May 1, 2013
PubMed

Insights

Diode laser photocoagulation for retinopathy of prematurity (ROP) can cause rare conjunctival hypertrophy. Surgical excision of this complication is necessary to prevent vision impairment in premature infants.

Area of Science:

  • Ophthalmology
  • Neonatology
  • Surgical Pathology

Background:

  • Retinopathy of prematurity (ROP) is a leading cause of blindness in premature infants.
  • Diode laser photocoagulation is a standard treatment to prevent ROP progression.
  • Complications from ROP treatment can impact visual outcomes.

Observation:

  • A premature infant (1210 g, 28 weeks gestation) with bilateral stage 3 threshold ROP received diode laser treatment.
  • An uncommon complication of excessive conjunctival hypertrophy occurred in the right eye post-treatment.
  • The hypertrophy grew towards the cornea, unresponsive to conservative management.

Findings:

  • Surgical excision of the hypertrophied conjunctiva was performed.
  • Histological examination revealed fibrous tissue as the cause of hypertrophy.
  • The surgical intervention resulted in a beneficial outcome for the infant's eye.

Implications:

  • This case highlights a rare but significant anterior segment complication of diode laser photocoagulation for ROP.
  • Prompt surgical intervention for conjunctival hypertrophy is crucial to prevent potential vision impairment.
  • Further research into preventing or managing this specific complication may be warranted.

Keywords:
complicationdiode laser photocoagulationhypertrophyretinopathy of prematurity

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