Baranov A V, Troianovskiĭ R L
Vestn Oftalmol. 2012 Jul-Aug;128(4):19-25.
Functional results of staged surgical treatment of advanced retinopathy of prematurity (ROP) are analyzed between 2005 and 2010 in ophthalmologic department of city children's hospital ( St. Petersburg). A total of 154 children (303 eyes) were operated. The assessment of visual functions was performed using proposed original method. Subject vision was achieved in 65% of 20 eyes (6,6%) with 4B stage ROP. Fair anatomic results were achieved in 131 eyes of children with 5 stage ROP (283 eyes), light perception was preserved in 52 eyes (39,7%), capability to distinguish large objects appeared in 40 eyes (30,5%) and subject vision developed in 39 eyes (29,8%). Correlation between visual functions and environmental conditions was found, in particular presence or absence of long-term period of training in color and individual objects distinguishing. In a group of children training resulted in achievement of fair functions (subject vision, capability to distinguish large objects) in 81,2% of patients, where as in a group without training the same capabilities developed in 31,8% of cases only. Functional outcomes were also found to depend on CNS condition and time of surgery.
2005年至2010年期间，在圣彼得堡市儿童医院眼科对晚期早产儿视网膜病变（ROP）的分期手术治疗的功能结果进行了分析。共有154名儿童（303只眼）接受了手术。使用提议的原始方法对视觉功能进行评估。在20只4B期ROP眼中，65%（6.6%）实现了主观视力。在5期ROP儿童的131只眼中取得了良好的解剖结果，52只眼（39.7%）保留了光感，40只眼（30.5%）出现了辨别大物体的能力，39只眼（29.8%）发展出了主观视力。发现视觉功能与环境条件之间存在相关性，特别是在辨别颜色和单个物体方面是否存在长期训练。在一组儿童中，训练使81.2%的患者实现了良好的功能（主观视力、辨别大物体的能力），而在没有训练的一组中，只有31.8%的病例发展出了相同的能力。还发现功能结果取决于中枢神经系统状况和手术时间。
