早产儿视网膜病变4B期和5期玻璃体切除术后的长期解剖和视觉转归
Long-Term Anatomic and Visual Outcome Following Vitrectomy for Stage 4B and 5 Retinopathy of Prematurity.
作者信息
Gusson Elena, Bosello Francesca, Allegrini Francesca, Firolli Lucia, Tomaello Ilaria, Marchini Giorgio, Micciolo Rocco, Pignatto Silvia, Capone Antonio
出版信息
Ophthalmic Surg Lasers Imaging Retina. 2019 Apr 1;50(4):208-214. doi: 10.3928/23258160-20190401-02.
BACKGROUND AND OBJECTIVES
Surgical indications in stages 4B and 5 retinopathy of prematurity (ROP) are not universally accepted. The authors' purpose is to evaluate the long-term anatomic and visual outcomes of vitrectomy for retinal detachment (RD) associated with stages 4B and 5 ROP.
PATIENTS AND METHODS
Data of patients who consecutively underwent vitrectomy for stages 4B and 5 ROP from 1999 to 2013 were retrospectively reviewed and included grade of retinal attachment and visual acuity (VA) at the last follow-up.
RESULTS
Seventy eyes of 38 infants were included: 23 with stage 4B and 47 with stage 5 ROP. Lens-sparing vitrectomy was performed in 11 eyes, combined lensectomy / vitrectomy in 59 eyes. Mean follow-up was 8.5 years. Anatomic success was maintained in 41 eyes (58.5%), and among them, VA greater than 5/200 was achieved in 17 eyes (41.4%).
CONCLUSION
The long-term visual and anatomic success rates were encouraging for the surgical correction of RD associated with late stages ROP. [Ophthalmic Surg Lasers Imaging Retina. 2019;50:208-214.].
背景与目的
4B期和5期早产儿视网膜病变（ROP）的手术指征尚未得到普遍认可。作者的目的是评估玻璃体切除术治疗与4B期和5期ROP相关的视网膜脱离（RD）的长期解剖学和视觉效果。
患者与方法
回顾性分析1999年至2013年连续接受玻璃体切除术治疗4B期和5期ROP患者的数据，包括末次随访时的视网膜附着分级和视力（VA）。
结果
纳入38例婴儿的70只眼：23只眼为4B期，47只眼为5期ROP。11只眼行保留晶状体玻璃体切除术，59只眼行晶状体切除术/玻璃体切除术联合手术。平均随访8.5年。41只眼（58.5%）维持了解剖学成功，其中17只眼（41.4%）视力达到5/200以上。
结论
对于与晚期ROP相关的RD进行手术矫正，长期视觉和解剖学成功率令人鼓舞。[《眼科手术、激光与影像学视网膜》。2019；50：208 - 214。]
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