Anatomical success rate after primary three-port lens-sparing vitrectomy in stage 5 retinopathy of prematurity

被引:24
作者
Lakhanpal, Rohit R. [1 ]
Sun, Regina L. [1 ]
Albini, Thomas A. [1 ]
Holz, Eric R. [1 ]
机构
[1] Baylor Coll Med, Cullen Eye Inst, Houston, TX 77030 USA
来源
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES | 2006年 / 26卷 / 07期
关键词
funnel configuration; lens-sparing vitrectomy (LSV); open anteriorly-narrow posteriorly configuration (ONC); open anteriorly-open posteriorly configuration (OOC); retinal reattachment; retinopathy of prematurity; stage; 5; three port; vitrectomy; retinal detachment;
D O I
10.1097/01.iae.0000244274.95963.1e
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To assess the anatomical success rate after three-port lens-sparing vitrectomy ([LSV in stage 5 (total) retinal detachments secondary to retinopathy of prematurity. Methods: In a retrospective, interventional, single-surgeon, consecutive case series, the records of 33 eyes of 21 patients presenting with stage 5 retinal detachment secondary to retinopathy of prematurity who underwent primary three-port LSV from February 1998 to January 2004 were evaluated. Twenty-one eyes (63.6%) had open anteriorly-open posteriorly and 12 (36.4%) had open anteriorly-narrow posteriorly in terms of anatomical configuration. The main outcome measure, retinal reattachment, was reviewed at final follow-up visits, which ranged from 6 months to 48 months (mean, 32 months) after LSV. Results: Fifteen eyes (45.5%) maintained attachment and 18 eyes (54.5%) remained detached at the final visit. Open anteriorly-open posteriorly configuration eyes had a statistically significant higher anatomical success rate-than eyes with an open anteriorlynarrow posteriorly configuration (P < 0.001). Conclusions: Three-port LSV may achieve anatomical success in stage 5 retinopathy of prematurity-related detachments. The open anteriorly-open posteriorly configuration portends a better prognosis; thus, surgery should be performed before closure of the posterior retina into a funnel configuration, if possible.
引用
收藏
页码:724 / 728
页数:5
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