[Diode laser photocoagulation of retinopathy of prematurity].
| Autor: | Galván Ledesma A; Servicio de Oftalmología, Hospital Virgen del Rocío, Sevilla, España. antoniogalvanledesma@hotmail.com, Morales Guillén C, Pastor Ramos MT, Vázquez Marouschek Mdel C |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Archivos de la Sociedad Espanola de Oftalmologia [Arch Soc Esp Oftalmol] 2011 Nov; Vol. 86 (11), pp. 368-73. Date of Electronic Publication: 2011 Oct 01. |
| DOI: | 10.1016/j.oftal.2011.04.010 |
| Abstrakt: | Objective: To describe diode laser photocoagulation results in retinopathy of prematurity (ROP) in our hospital. Material and Method: Retrospective cross-sectional study based on clinical histories of the premature infants treated during the period from 2004 to 2008. Results: In the treated group we found a predominance of pre-threshold retinopathy versus threshold retinopathy (84.35% vs 15.65%). The anatomic results were good in 96.5% of 147 eyes. None of the treated eyes in pre-threshold stage showed a poor result. Nine months after treatment, 84.85% of 132 eyes showed good functional results. A poor visual response was associated in most of the cases with neurological diseases. Infants with intraventricular haemorrhages had the worst anatomical and functional results. Strabismus (23.5%) and nystagmus (10.3%) rates were high, probably due to the increased prevalence of neurological diseases. The mortality rate in treated children was 7.3%. Conclusions: Diode laser photocoagulation in ROP offers very good anatomical results when performed at the appropriate time. Nevertheless, prematurity is still a very important cause of visual dysfunction in infancy due to the associated neurological disturbances. (Copyright © 2010 Sociedad Española de Oftalmología. Published by Elsevier Espana. All rights reserved.) |
| Databáze: | MEDLINE |
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