Functional and anatomical outcomes after primary lens-sparing pars plana vitrectomy for Stage 4 retinopathy of prematurity.
Functional and anatomical outcomes after primary lens-sparing pars plana vitrectomy for Stage 4 retinopathy of prematurity.
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DOI：
10.4103/0301-4738.53050
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发表时间：
2009-07
影响因子：
3.1
通讯作者：
Biswas RK
中科院分区：
文献类型：
--
作者：
Bhende P;Gopal L;Sharma T;Verma A;Biswas RK
虽然晶状体牺牲玻璃体切除术是治疗5期早产儿视网膜病变（ROP）的标准方法，但巩膜扣带术已用于治疗某些4期病例。Maguire和Trese在选定的4期疾病病例中推广了保留晶状体的玻璃体切除术。评估4期ROP行保留晶状体的玻璃体切除术后的功能和视力结局。在一项回顾性、干预性、连续的病例系列研究中，对2000年1月至2006年10月期间31例继发于ROP的4期视网膜脱离患者的39只眼记录进行了评价，这些患者接受了初次双孔或三孔保留晶状体的玻璃体切除术。最终随访时研究的结局为视网膜状态、透镜和内侧清晰度以及视力。有利的解剖结果定义为术后2个月后极部视网膜复位;有利的功能结果定义为中心、稳定和维持固定，儿童跟随光线。平均随访15个月时，74%的患眼在单次手术中获得了良好的解剖结局。视力状况良好者占63%。末次随访时，所有患眼的透镜保持透明，87%的患眼保持了中膜透明。术中并发症包括玻璃体出血、视网膜前出血和视网膜裂孔形成。保留晶状体的玻璃体切除术有助于在选定的4期ROP病例中实现有利的解剖和功能结局。
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. To assess the functional and visual outcomes after primary lens-sparing pars plana vitrectomy for Stage 4 ROP. 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 after the surgery; and favorable functional outcome was defined as a central, steady and maintained fixation, with the child following light. 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. Lens-sparing vitrectomy helps to achieve a favorable anatomical and functional outcome in selected cases of Stage 4 ROP.
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影响因子：
13.7
作者：
Capone, A;Trese, MT
通讯作者：
Trese, MT
影响因子：
4.2
作者：
CHONG, LP;MACHEMER, R;DEJUAN, E
通讯作者：
DEJUAN, E
婴儿的保晶状体玻璃体视网膜手术
影响因子：
--
作者：
MAGUIRE, AM;TRESE, MT
通讯作者：
TRESE, MT
影响因子：
--
作者：
Moshfeghi, AA;Banach, MJ;Ferrone, PJ
通讯作者：
Ferrone, PJ
影响因子：
13.7
作者：
Prenner, JL;Capone, A;Trese, MT
通讯作者：
Trese, MT