ZONE I RETINOPATHY OF PREMATURITY
| Autor: | Andrés Kychenthal, Ximena Katz, Paola Dorta |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Pediatrics
medicine.medical_specialty genetic structures Treatment outcome Retinal Neovascularization Severity of Illness Index Postoperative Complications Vitrectomy medicine Humans Retinopathy of Prematurity Surgical treatment Laser Coagulation business.industry Infant Newborn Retinal Detachment Retinopathy of prematurity General Medicine medicine.disease eye diseases Surgery Scleral Buckling Ophthalmology Treatment Outcome sense organs business Infant Premature Follow-Up Studies |
| Zdroj: | Retina. 26:S11-S15 |
| ISSN: | 0275-004X |
| Popis: | To study the clinical characteristics and treatment outcomes after laser and surgical treatment in a series of infants with zone I retinopathy of prematurity (ROP).Preterm infants less than 1,500 g at birth diagnosed with zone I ROP were studied. Fifty-seven consecutive eyes in 29 infants with zone I ROP were treated with indirect diode laser. Within zone I, two anatomic subgroups (anterior and posterior) were defined. Additionally, 27 eyes (15 patients) with retinal detachment secondary to zone I ROP were surgically treated. Structural outcomes were evaluated 3 months after surgery.Atypical morphologic characteristics were observed. Thirty-one out of 48 eyes (64.6%) with anterior zone I ROP and none of the 9 eyes with posterior zone I ROP had a favorable outcome (P0.001) after photocoagulation. In the surgery group, 14 out of 19 (74%) eyes with stage 4 and 1 out of 8 (13%) eyes with stage 5 had favorable outcomes.Atypical clinical features can be observed in zone I ROP. A posterior localization of the disease carries a worse prognosis after laser photocoagulation. Surgical intervention can effectively reattach the retina in a significant number of zone I ROP-related retinal detachments. |
| Databáze: | OpenAIRE |
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