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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Three-year anatomic and visual outcomes after vitrectomy for stage 4B retinopathy of prematurity
Retina, Volume 28, No. 4, Year 2008
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Description
PURPOSE: To assess anatomic and visual outcome following vitrectomy for stage 4B retinopathy of prematurity (ROP) after 3 years follow-up. METHODS: Retrospective analysis of 56 eyes (46 infants) with stage 4B ROP-related retinal detachment. Eyes underwent either lens-sparing vitrectomy (LSV) or combined lensectomy and vitrectomy (LV). Visual outcome after a minimum follow-up of 36 months was ascertained by using either Teller or Snellen acuities, or sweep visual evoked potential. RESULTS: LSV was performed in 42.9% and LV in 57.1% of eyes. Retinal reattachment was achieved in 73.2% overall (LV 71.8% versus LSV 75%) (P = 0.96). Ambulatory vision (VA better than 20/1900) and near reading vision (better than 20/800) were attained in 97.4% and 42.8% of eyes respectively. Attached retina, LSV, and pretreatment with retinal ablation were associated with a higher incidence of near reading or better vision compared to detached (P < 0.001), undergoing LV (P < 0.001), and non pretreated eyes (P = 0.011). CONCLUSION: After 3 years, more than 40% of eyes operated for ROP stage 4B in this series had a visual acuity compatible for near reading or better. Eyes undergoing LSV and with prior peripheral retinal ablation had better visual outcomes. © The Ophthalmic Communications Society, Inc.
Authors & Co-Authors
El-Rayes, Ehab N.
Egypt, Giza
Research Institute of Ophthalmology
Vinekar, Anand
United States, Royal Oak
William Beaumont Hospital
Capone, Antonio
United States, Royal Oak
William Beaumont Hospital
United States, Royal Oak
Medical Office Building
Statistics
Citations: 30
Authors: 3
Affiliations: 3
Identifiers
Doi:
10.1097/IAE.0b013e3181610f97
ISSN:
0275004X
Research Areas
Health System And Policy
Study Design
Cohort Study