| Zone I retinopathy of prematurity: clinical characteristics and treatment outcomes. | |
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MedLine Citation:
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PMID: 16946670 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: To study the clinical characteristics and treatment outcomes after laser and surgical treatment in a series of infants with zone I retinopathy of prematurity (ROP). METHODS: Preterm infants less than 1,500 g at birth diagnosed with zone I ROP were studied. Fifty-seven consecutive eyes in 29 infants with zone I ROP were treated with indirect diode laser. Within zone I, two anatomic subgroups (anterior and posterior) were defined. Additionally, 27 eyes (15 patients) with retinal detachment secondary to zone I ROP were surgically treated. Structural outcomes were evaluated 3 months after surgery. RESULTS: Atypical morphologic characteristics were observed. Thirty-one out of 48 eyes (64.6%) with anterior zone I ROP and none of the 9 eyes with posterior zone I ROP had a favorable outcome (P < 0.001) after photocoagulation. In the surgery group, 14 out of 19 (74%) eyes with stage 4 and 1 out of 8 (13%) eyes with stage 5 had favorable outcomes. CONCLUSIONS: Atypical clinical features can be observed in zone I ROP. A posterior localization of the disease carries a worse prognosis after laser photocoagulation. Surgical intervention can effectively reattach the retina in a significant number of zone I ROP-related retinal detachments. |
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Authors:
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Andres Kychenthal; Paola Dorta; Ximena Katz |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Retina (Philadelphia, Pa.) Volume: 26 ISSN: 0275-004X ISO Abbreviation: Retina (Philadelphia, Pa.) Publication Date: 2006 Sep |
Date Detail:
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Created Date: 2006-09-01 Completed Date: 2007-05-30 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: S11-5 Citation Subset: IM |
Affiliation:
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Hospital de Niños Roberto del Río, Santiago, Chile. akychenthal@entelchile.net |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Follow-Up Studies Humans Infant, Newborn Infant, Premature Laser Coagulation / methods* Postoperative Complications Retinal Detachment / pathology, surgery Retinal Neovascularization / etiology, pathology Retinopathy of Prematurity / pathology*, surgery* Scleral Buckling / methods* Severity of Illness Index Treatment Outcome Vitrectomy / methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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