保留晶状体的玻璃体手术治疗4A期牵引性早产儿视网膜病变性视网膜脱离
Lens-sparing vitreous surgery for tractional stage 4A retinopathy of prematurity retinal detachments.
作者信息
Capone A, Trese M T
机构信息
Associated Retinal Consultants, William Beaumont Hospital, Royal Oak, Michigan, USA.
出版信息
Ophthalmology. 2001 Nov;108(11):2068-70. doi: 10.1016/s0161-6420(01)00809-0.
PURPOSE
To assess the efficacy of lens-sparing vitrectomy in tractional 4A retinopathy of prematurity (ROP) retinal detachments in reducing progression to stage 4B or 5 ROP.
DESIGN
Retrospective, noncomparative consecutive case series.
PARTICIPANTS
Forty eyes (31 patients) with stage 4A ROP at 38 to 42 weeks post-conceptional age.
INTERVENTION
Lens-sparing vitrectomy.
MAIN OUTCOME MEASURES
Retinal attachment status and presence/absence of fixation behavior.
RESULTS
The range of follow-up was 6 to 22 months (mean, 12 months). Ninety percent (36 of 40) of eyes showed retinal reattachment and fixation behavior at their last follow-up visit.
CONCLUSIONS
These results suggest that vitreous surgery can interrupt progression of ROP from stage 4A to stages 4B or 5.
目的
评估保留晶状体玻璃体切除术治疗4A期早产儿视网膜病变（ROP）牵引性视网膜脱离在减少进展至4B期或5期ROP方面的疗效。
设计
回顾性、非对照连续病例系列。
研究对象
孕龄38至42周的40只眼（31例患者）患有4A期ROP。
干预措施
保留晶状体玻璃体切除术。
主要观察指标
视网膜附着状态及有无注视行为。
结果
随访时间为6至22个月（平均12个月）。40只眼中90%（36只）在最后一次随访时显示视网膜重新附着且有注视行为。
结论
这些结果表明玻璃体手术可中断ROP从4A期进展至4B期或5期。
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