Chandra Parijat, Tewari Ruchir, Salunkhe Nitesh, Kumawat Devesh, Kumar Vinod
J Pediatr Ophthalmol Strabismus. 2017 Jun 29;54:e34-e36. doi: 10.3928/01913913-20170531-01.
Rhegmatogenous retinal detachment after successfully regressed retinopathy of prematurity is a rare occurrence. Late onset rhegmatogenous retinal detachment has been reported infrequently. The authors report a case of aggressive posterior retinopathy of prematurity that underwent uneventful regression after laser photocoagulation and later developed an inoperable closed funnel retinal detachment due to a giant retinal tear. This case represents the earliest development of such complications in regressed aggressive posterior retinopathy of prematurity treated by laser. Development of a giant retinal tear has also not been previously reported after laser treatment. This case highlights that successful regression of severe retinopathy of prematurity does not safeguard against future complications and requires frequent long-term follow-up. [J Pediatr Ophthalmol Strabismus. 2017;54:e34-e36.].
早产儿视网膜病变成功消退后发生孔源性视网膜脱离是一种罕见情况。迟发性孔源性视网膜脱离的报道较少。作者报告了一例侵袭性早产儿后极部视网膜病变，经激光光凝治疗后病情平稳消退，但后来因巨大视网膜裂孔发展为无法手术的闭合性漏斗状视网膜脱离。该病例代表了接受激光治疗的侵袭性早产儿后极部视网膜病变消退后此类并发症的最早发生情况。此前也未有激光治疗后发生巨大视网膜裂孔的报道。该病例突出表明，严重早产儿视网膜病变的成功消退并不能预防未来并发症的发生，需要进行频繁的长期随访。[《小儿眼科与斜视杂志》。2017年；54:e34 - e36。]
