Functional and anatomical outcomes after primary lens-sparing pars plana vitrectomy for Stage 4 retinopathy of prematurity

Bhende, Pramod; Gopal, Lingam; Sharma, Tarun; Verma, Aditya; Biswas, Rupak Kanti
September 2009
Indian Journal of Ophthalmology;Sep2009, Vol. 57 Issue 4, p267
Academic Journal
Background: While lens-sacrificing vitrectomy is the standard approach to manage Stage 5 retinopathy of prematurity (ROP), scleral buckling has been used to manage some cases of Stage 4. Lens-sparing vitrectomy was popularized by Maguire and Trese in selected cases of Stage 4 disease. Purpose: To assess the functional and visual outcomes aft er primary lens-sparing pars plana vitrectomy for Stage 4 ROP. Materials and Methods: In a retrospective, interventional, consecutive case series, the records of 39 eyes of 31 patients presenting with Stage 4 retinal detachment secondary to ROP who underwent primary two or three-port lens-sparing vitrectomy from January 2000 to October 2006 were evaluated. The outcomes studied at the final follow-up visit were the retinal status, lens and medial clarity and visual acuity. Favorable anatomical outcome was defined as the retinal reattachment of the posterior pole at two months aft er the surgery; and favorable functional outcome was defined as a central, steady and maintained fixation, with the child following light. Results: At mean follow-up of 15 months, 74% of the eyes had a favorable anatomical outcome with single procedure. The visual status was favorable in 63%. The lens remained clear in all the eyes at the last follow-up, and the media clarity was maintained in 87%. Intraoperative complications included vitreous hemorrhage, pre-retinal hemorrhage and retinal break formation. Conclusions: Lens-sparing vitrectomy helps to achieve a favorable anatomical and functional outcome in selected cases of Stage 4 ROP.


Related Articles

  • Visual outcome and complications of 25-gauge vitrectomy for rhegmatogenous retinal detachment; 84 consecutive cases. Kunikata, H.; Nishida, K. // Eye;Jun2010, Vol. 24 Issue 6, p1071 

    PurposeTo assess the visual outcome and complications of 25-G transconjunctival sutureless vitrectomy (25G-TSV) for rhegmatogenous retinal detachments.MethodsRetrospective, consecutive, interventional case series of 84 eyes of 84 consecutive patients with RRD who underwent 25G-TSV. All surgeries...

  • Retinal detachment as a late complication of retinopathy of prematurity. Schvöller, Mónika; Gaál, Valéria; Gaál, Judit; Szijártó, Zsuzsanna // Acta Medica Lituanica;2006, Vol. 13 Issue 3, p214 

    Background: Retinal detachment (RD) is a less frequent late complication of retinopathy of praematurity (ROP) than myopia, amblyopia, anisometropia, strabismus and glaucoma. Materials and methods: A fourteen-year-old formerly preterm patient was operated on the left eye with rhegmatogenous...

  • Komplike Retina Dekolmanlı Gözlerde Pars Plana Vitrektomi ile Birlikte GeniÅŸ GevÅŸetici Retinotomi Uygulaması. Çakir, Mehmet; Çekiç, Osman; Pekel, Gökhan; Bayraktar, Şükrü; Yilmaz, Ömer Faruk // Retina-Vitreus/Journal of Retina-Vitreous;Mar2008, Vol. 16 Issue 1, p21 

    Purpose: To evaluate the anatomical and functional results in patients with complicated retinal detachment who were treated with pars plana vitrectomy and large relaxing retinotomy. Materials and Methods: Twenty-six eyes of 26 patients who underwent pars plana vitrectomy with retinotomy larger...

  • Radyasyon Retinopatili Ä°ki Olguda Ä°ntravitreal Enjeksiyon Tedavisi. Selver, Özlem Barut; Yaman, Aylin; Öner, F. Hakan; Söylev, Meltem F.; Saatci, A. Osman // Retina-Vitreus/Journal of Retina-Vitreous;Jun2009, Vol. 17 Issue 2, p136 

    Medical records of two patients treated for radiation retinopathy in our clinic were evaluated retrospectively to assess the efficacy of various intravitreal injections. Age of the patients was 28 and 53. The time interval between radiotherapy and radiation retinopathy was 3 years in the first...

  • Psödofakik Retina Dekolmanlarinin Tedavisinde Farkli Cerrahi Tekniklerin KarÅŸilaÅŸtirilmasi. Yüksel, Erdem; Özdek, Şengül; Gürelık, Gökhan; Hasanreısoğlu, Berati // Retina-Vitreus/Journal of Retina-Vitreous;Dec2008, Vol. 16 Issue 4, p263 

    Purpose: To compare scleral buckling, pars plana vitrectomy and their combination for the treatment of pseudophakic retinal detachment (PRD) Materials and Methods: This is a retrospective evaluation patients who were treated for PRD between January 01 and March 06 in Department of Ophthalmology...

  • Vitreoretinal management of the complications of sickle cell retinopathy by observation or pars plana vitrectomy. Williamson, T. H.; Rajput, R.; Laidlaw, D. A. H.; Mokete, B. // Eye;Jun2009, Vol. 23 Issue 6, p1314 

    PurposeTo describe the management of vitreoretinal complications of sickle cell retinopathy.DesignA retrospective interventional case seriesMethodsReview of an electronic patient record and clinical notes of 27 patients with vitreoretinal complications of sickle retinopathy.ResultsSix male...

  • Scleral Buckling for RRD: Yes, No or Maybe? Sabrosa, Nelson A.; Wong, Chien // Review of Ophthalmology;Sep2014, Vol. 21 Issue 9, p44 

    The article discusses how scleral buckle surgery is the best option as vitreoretinal surgery for Rhegmatogenous retinal detachments. Topics included are other surgery options like pars plana vitrectomy with retinopexy and intravitreal tamponade and pneumatic retinopexy, macular involvement in...

  • Rhegmatogenous retinal detachment due to a macular hole in a patient with pars planitis: a case report. Stavrakas, Panagiotis; Androu, Angeliki A.; Tranos, Paris; Kontou, Evgenia; Milia, Maria; Georgalas, Ilias // Therapeutics & Clinical Risk Management;2015, Vol. 11, p59 

    We report a rare case of rhegmatogenous retinal detachment due to a full-thickness macular hole in a young patient with pars planitis. This study was an interventional case report. A 38-year-old Asian man presented with acute reduction of vision in his left eye. His past ocular history revealed...

  • Disappearance of extramacular drusen after chronic retinal detachment. Lik Thai Lim; Holicki, Joseph; Walker, Jonathan D. // Oman Journal of Ophthalmology;Feb2012, Vol. 5 Issue 1, p67 

    The article presents a case study of a 90 year old white woman suffering from loss of vision in her left eye for one and a half months. An almost total retinal detachment in the left eye was surgically repaired with combined vitrectomy and scleral buckle. Almost all of the extramacular drusen...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics