Department of Ophthalmology, Tri-service General Hospital, National Defense Medical Center, Taipei.
Ph.D. Program in Nutrition and Food Science, Fu Jen University, New Taipei City, Taiwan.
Medicine (Baltimore). 2021 Jun 4;100(22):e26227. doi: 10.1097/MD.0000000000026227.
Retinopathy of prematurity (ROP) is one of the major leading causes of childhood visual morbidity worldwide. Retinal break and traction develop in regressed ROP can further result in rhegmatogenous or tractional retinal detachment years or even decades later.
Here, we reported a case of bilateral ROP related late complication in a 36-year-old male with a chief complaint of increased floaters in his left eye.
The fundus examination showed demarcation lines over temporal side in both eyes with tractional retinal detachment and retinal breaks anterior to the lines. A diagnosis of ROP-related late complication of combined tractional and rhegmatogenous retinal detachment was made.
Peripheral laser photocoagulation along the demarcation lines for confining the detachment area in both eyes was performed with a stable condition during follow up.
After laser retinopexy, the patient was followed up at one week and four months later with stable laser scars and without progression of the retinal detachments.
Regressed ROP-associated retinal detachment can occur at any time during life. Special care and follow-up may be necessary for these patients.
早产儿视网膜病变（ROP）是全球儿童视力致残的主要原因之一。退行性 ROP 可发展为视网膜裂孔和牵引，数年后甚至数十年后可进一步导致孔源性或牵引性视网膜脱离。
我们在此报告了一例 36 岁男性双侧 ROP 相关晚期并发症病例，该患者主要诉左眼出现漂浮物增多。
眼底检查显示双眼颞侧有分界线，伴有牵引性视网膜脱离和分界线前方的视网膜裂孔。诊断为 ROP 相关晚期并发症，合并牵拉性和孔源性视网膜脱离。
对双眼进行沿分界线的周边激光光凝，以限制脱离区域，随访期间病情稳定。
激光视网膜光凝术后一周和四个月后随访，激光瘢痕稳定，视网膜脱离无进展。
退行性 ROP 相关的视网膜脱离可在生命中的任何时间发生。这些患者可能需要特别的关注和随访。
