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INCIDENCE AND RISK FACTORS FOR EXUDATIVE RETINAL DETACHMENT FOLLOWING LASER PHOTOCOAGULATION FOR RETINOPATHY OF
Devin Cohen1,2, Gil Binenbaum1,2, Khalid El-Jack1,2
1The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; and.
Retina (Philadelphia, Pa.)
|November 10, 2023
Summary
Exudative retinal detachment (ERD) is an uncommon complication of laser treatment for retinopathy of prematurity. Infants of African American or Hispanic race had a higher risk of ERD, suggesting pigment may play a role.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Pediatric Medicine
Background:
- Laser photocoagulation is used to treat retinopathy of prematurity.
- Exudative retinal detachment (ERD) is a potential complication of this laser treatment.
- Risk factors for ERD following laser treatment are not well-established.
Purpose of the Study:
- To evaluate risk factors for exudative retinal detachment (ERD) after laser photocoagulation for retinopathy of prematurity.
- To compare infants who developed ERD with those who did not.
Main Methods:
- Retrospective cohort study of infants treated with laser for retinopathy of prematurity.
- Demographic, medical, and procedural factors were analyzed for association with ERD.
- Univariate analysis was used due to the rarity of ERD.
Main Results:
- Exudative retinal detachment (ERD) occurred in 4% of 149 infants treated with laser.
- Infants of African American or Hispanic race had a significantly higher incidence of ERD (8.5%) compared to other races (0%).
- No other studied factors were significantly associated with ERD.
Conclusions:
- Exudative retinal detachment (ERD) is an uncommon complication of laser treatment for retinopathy of prematurity.
- Darker pigmented race was significantly associated with increased ERD risk.
- Further research is needed to understand the role of choroidal pigment in ERD development.
