Combined use of cryotherapy and diode laser photocoagulation for the treatment of threshold retinopathy of prematurity
| Autor: | Harley G Ginsberg, Nils Mungan, H. Sprague Eustis |
|---|---|
| Rok vydání: | 2003 |
| Předmět: |
medicine.medical_specialty
Visual acuity genetic structures medicine.medical_treatment Photoablation Cryotherapy law.invention chemistry.chemical_compound law Ophthalmology Medicine Dioptre Retina business.industry Retinopathy of prematurity Retinal medicine.disease Laser eye diseases Surgery medicine.anatomical_structure chemistry Pediatrics Perinatology and Child Health sense organs medicine.symptom business |
| Zdroj: | Journal of American Association for Pediatric Ophthalmology and Strabismus (JAAPOS). 7:121-125 |
| ISSN: | 1091-8531 |
| DOI: | 10.1067/mpa.2003.s1091853102420034 |
| Popis: | Purpose Cryotherapy and indirect laser retinal photoablation are both effective in the treatment of retinopathy of prematurity (ROP). We describe the safety, efficiency, and effectiveness of combined cryotherapy and diode laser photocoagulation to treat threshold ROP. Methods Records of patients developing threshold ROP from January 1, 1996 through December 31, 1998, were retrospectively reviewed to identify those treated with combined cryotherapy and photocoagulation and followed up for at least 45 days postoperatively. Diode laser was used to ablate posterior avascular retina, and cryotherapy was used for anterior retina. Data reviewed included ocular and systemic complication rates, treatment duration, number of laser burns, most recent fundus examination, visual acuity, and refraction. Results In 13 patients, 23 eyes received combined treatment. No intraoperative complications occurred. Mean duration of anesthesia and treatment was 35 ± 8 minutes/eye. A mean of 117 ± 84 laser burns/eye were applied. In 20 of 23 eyes (87.0%), anatomic outcome was favorable at last examination. In 13 of 16 eyes (81.3%), functional (visual acuity) outcome was favorable (visual acuity better than 20/200) at 1 year. At 6 months or later, 14 of 16 eyes (87.5%) measured were myopic, of which 5 (31.3%) were highly myopic (> 6 diopters). Conclusions The effectiveness of treating ROP with combined cryotherapy and diode laser photocoagulation compares with that of either modality alone. By decreasing the number of laser applications, combined therapy may be faster and technically easier for eyes with very posterior ROP. This may decrease the number of complications seen when either excessive cryotherapy or laser retinal photoablation is used. |
| Databáze: | OpenAIRE |
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