| Three-year anatomic and visual outcomes after vitrectomy for stage 4B retinopathy of prematurity. | |
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MedLine Citation:
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PMID: 18398359 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Ehab N El Rayes; Anand Vinekar; Antonio Capone |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Retina (Philadelphia, Pa.) Volume: 28 ISSN: 0275-004X ISO Abbreviation: Retina (Philadelphia, Pa.) Publication Date: 2008 Apr |
Date Detail:
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Created Date: 2008-04-11 Completed Date: 2008-05-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8309919 Medline TA: Retina Country: United States |
Other Details:
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Languages: eng Pagination: 568-72 Citation Subset: IM |
Affiliation:
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Research Institute of Ophthalmology, Cairo, Egypt. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Female Follow-Up Studies Gestational Age Humans Infant, Extremely Low Birth Weight Infant, Newborn Lens, Crystalline / surgery Male Retina / physiopathology* Retinal Detachment / surgery* Retinopathy of Prematurity / classification, physiopathology, surgery* Retrospective Studies Visual Acuity / physiology* Vitrectomy* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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