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Published on: September 11, 2013
Comparing Rhegmatogenous and Tractional Retinal Detachment in Regressed Retinopathy of Prematurity: An International,
Han-Tung Hsu1, Eugene Yu-Chuan Kang1, Michael P Blair2
1From the Department of Ophthalmology (H-T.H., E.Y-C.K., Y.S.H., C-C.L., W-C.W.), Chang Gung Memorial Hospital, Taoyuan, Taiwan; College of Medicine (H-T.H., E.Y-C.K., Y.S.H., C-C.L., W-C.W.), Chang Gung University, Taoyuan, Taiwan.
Late-onset retinal detachment (RD) in patients with regressed retinopathy of prematurity (ROP) is mostly rhegmatogenous and has good surgical outcomes. Tractional RD (TRD) presents earlier with poorer results, necessitating regular eye exams for early detection.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Pediatric Ophthalmology
Background:
- Retinopathy of prematurity (ROP) is a leading cause of childhood blindness.
- Regressed ROP can still lead to late-onset complications, including retinal detachment (RD).
- Understanding the characteristics of late-onset RD in this population is crucial for management.
Purpose of the Study:
- To investigate clinical manifestations of late-onset RD in patients with regressed ROP.
- To evaluate surgical outcomes and identify prognostic factors for RD in this cohort.
- To compare outcomes between rhegmatogenous RD (RRD) and tractional RD (TRD).
Main Methods:
- International, multicenter, retrospective case series.
- Inclusion criteria: patients with RD ≥2 years after ROP resolution.
- Analysis of clinical features, age, visual acuity (VA), and surgical outcomes for RRD and TRD.
Main Results:
- 177 eyes from 156 patients analyzed; 95% were RRD, 5% were TRD.
- RRD showed significant postoperative VA improvement.
- TRD had higher rates of multiple surgeries (77.8%) and poorer reattachment rates (66.7%).
- Poor RRD outcomes linked to large breaks (>1.5 mm) and prior ROP surgery.
Conclusions:
- Late-onset RD in regressed ROP is predominantly RRD with generally favorable surgical outcomes.
- TRD occurs earlier, requires more surgeries, and has worse anatomical and visual prognoses.
- Regular ocular examinations are recommended for early detection of RD, especially before age 30.
