Document Detail

A systematic review of anatomical and visual function outcomes in preterm infants after scleral buckle and vitrectomy for retinal detachment.
MedLine Citation:
PMID:  14988875     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: This article is a systematic review of the literature examining the anatomical and visual function outcomes after scleral buckle and/or vitrectomy for Stage 4 or 5 retinopathy of prematurity. MATERIALS AND METHODS: The literature published between 1994 through May 2003 was reviewed via a computer search accessing MEDLINE via OVID. Eight applicable studies were retrieved and analyzed. The study designs were descriptive, retrospective, non-comparative, consecutive case series. RESULTS: The postoperative anatomical outcomes varied dramatically between studies with retinal reattachment rates of 0.8% to 90%. Surgeries that achieved a 50% or higher rate of reattachment occurred primarily between 2 and 9 months of age. Surgeries that occurred between 7 and 11 months of age achieved a lower percentage of retinal reattachment. Further, the longer the duration of follow-up, the lower the percentage of retinas that remained attached. Most importantly, at least in these reports, the degree of retinal reattachment did not correlate well with the level of visual function. One report demonstrated no statistical correlation between visual and anatomical success. Poor visual outcomes were noted in both timely and delayed cases of surgical reattachment of the retina. Many of the reports described challenges in accurately measuring low levels of vision.
Lisa Mayer Ertzbischoff
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Advances in neonatal care : official journal of the National Association of Neonatal Nurses     Volume:  4     ISSN:  1536-0903     ISO Abbreviation:  Adv Neonatal Care     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-02-27     Completed Date:  2004-06-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  101125644     Medline TA:  Adv Neonatal Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  10-9     Citation Subset:  IM    
William Beaumont Hospital, Royal Oak, MI 48073, USA.
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MeSH Terms
Eye / anatomy & histology*,  growth & development
Infant, Newborn
Infant, Premature
Macula Lutea / pathology,  surgery
Retinal Detachment / etiology,  pathology,  surgery*
Retinopathy of Prematurity / complications,  physiopathology,  surgery*
Retrospective Studies
Scleral Buckling* / methods
Time Factors
Treatment Outcome
Visual Acuity*
Vitrectomy* / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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