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[Retinopathy of prematurity and retinal detachment]
B Koraszewska-Matuszewska1, E Samochowiec-Donocik, M Papiez
1Kliniki Okulistyki Dzieciecej I Katedry Okulistyki 'Sl.AM.
Insights
Surgical intervention successfully reattached the retina in 63% of children with retinal detachment due to retinopathy of prematurity (ROP). Success rates varied between active ROP and regressed ROP cases.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Context:
- Retinopathy of prematurity (ROP) can lead to severe visual impairment, including retinal detachment.
- Surgical management is crucial for preserving vision in affected children.
Purpose:
- To evaluate the surgical outcomes of retinal detachment repair in children with a history of retinopathy of prematurity.
Summary:
- This study analyzed 19 eyes of children (aged 5 months to 17 years) with ROP-related retinal detachment undergoing surgical repair.
- Procedures included scleral buckling (19 eyes) and vitrectomy with endo-tamponade (4 eyes).
- Overall retinal reattachment was achieved in 12 eyes (63%), with 40% success in active ROP and 71.3% in regressed ROP.
Impact:
- Surgical repair offers a viable option for restoring retinal attachment in pediatric ROP patients.
- Understanding success rates in different ROP phases can guide treatment strategies and patient counseling.
Abstract:
The authors examined 60 children (91 eyes), aged 5 months to 17 years, with retinal detachment in the ROP course; 19 eyes were selected for the surgery, 5 eyes with the active ROP phase and 14 myopic eyes with the vitreo-retinal changes resulting from ROP. The segmental or encircling scleral buckling was performed in 19 eyes, in 4 eyes the vitrectomy and the endo-tamponade was used. In 12 eyes (63%) the retinal attachment was achieved, in 2 eyes in the active phase (40%) and 10 eyes (71.3%) with regressed ROP.