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Follow-up of 15 children with severe ROP 1987-1989

S Crafoord1, I Stenström, J Schollin

  • 1Department of Ophthalmology, Orebro Medical Center Hospital, Sweden.

Acta Ophthalmologica. Supplement
|January 1, 1993
PubMed
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See all related articles

Surgical interventions for severe retinopathy of prematurity (ROP) successfully reattached retinas in stages 3+ and 4B. Stage 5 ROP showed limited success with retinal reattachment and visual outcomes.

Area of Science:

  • Ophthalmology
  • Neonatal Medicine
  • Surgical Innovation

Background:

  • Severe retinopathy of prematurity (ROP) poses a significant risk to infant vision.
  • Early intervention is crucial for managing advanced stages of ROP.

Purpose of the Study:

  • To evaluate the surgical outcomes of treating severe retinopathy of prematurity (ROP) in premature infants.
  • To assess the efficacy of cryotherapy, buckling procedures, and vitreous surgery in ROP management.

Main Methods:

  • Retrospective analysis of 15 premature infants with severe ROP (stages 3+, 4B, 5) treated between 1987-1989.
  • Surgical interventions included cryotherapy for stage 3+ and buckling/vitreous surgery for stages 4B and 5.
  • Follow-up ranged from 2 to 5.5 years to assess retinal reattachment and visual acuity.

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Main Results:

  • Complete retinal reattachment was achieved in all stage 3+ and 4B eyes post-surgery.
  • Four out of seventeen stage 5 ROP eyes achieved central retinal reattachment.
  • Visual acuity was measurable in all treated stage 3+ and 4B eyes; only two stage 5 eyes with reattached retinas had light perception.

Conclusions:

  • Surgical treatment for stage 3+ and 4B ROP demonstrated high success rates for retinal reattachment.
  • Outcomes for stage 5 ROP were less favorable, with limited retinal reattachment and poor visual prognosis.
  • Early surgical intervention in ROP is vital, but advanced stages present significant challenges.