EFFICIENCY OF OUTCOMES IN SURGICAL TREATMENT FOR THE STAGE 5 OF RETINOPATHY OF PREMATURITY

Autor: O. V. Diskalenko, O. A. Konikova, V. V. Brzhesky
Jazyk: ruština
Rok vydání: 2015
Předmět:
Zdroj: Офтальмохирургия, Vol 0, Iss 2, Pp 40-44 (2015)
Druh dokumentu: article
ISSN: 0235-4160
2312-4970
Popis: Purpose. To evaluate the long-term anatomical and functional outcomes of surgical treatment of the terminal stage of retinopathy of prematurity (ROP).Material and methods. The analysis of long-term anatomical and functional results lensvitrshvartectomy (LVSHE) at the ROP stage V was performed at the Leningrad Regional Pediatric Clinical Hospital in 92 patients (180 eyes) aged from 2 to 17 years (mean 4.0±0.2). A method for an anatomical evaluation of efficiency for surgical treatment of retinal detachment is proposed on the basis of calculation of the retinal attachment coefficient (Cf), as the ratio of the area of the digital image of the attached retina to the total area of digital fundus images.Results. The complete anatomical success was achieved in 35.6% (64 eyes of 53 patients), partial – in 37.2% of cases (67 eyes, 51 children), total retinal detachment was inoperable in 27.2% (49 eyes, 42 children). In the first group of patients (mean age for the LVSHE – 3.9±0.2 months) the Cf was 0.5±0.04, in the second group (age – 7.9 ±0.1 months.) – 0.6±0.03, in the third group (age – 17.1±1.52 months) – 0.4±0.02. In the groups 1 and 2 indices were statistically not significantly different, while the area of retinal attachment in the group 3 of patients was significantly lower (p
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