Lens-sparing vitrectomy for progressive tractional retinal detachments associated with stage 4A retinopathy of prematurity
Lens-sparing vitrectomy for progressive tractional retinal detachments associated with stage 4A retinopathy of prematurity
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DOI：
10.1001/archopht.122.12.1816
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发表时间：
2004-12-01
影响因子：
--
通讯作者：
Ferrone, PJ
中科院分区：
文献类型：
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作者：
Moshfeghi, AA;Banach, MJ;Ferrone, PJ
目的：描述进行性、威胁中心凹、牵引性视网膜脱离伴4A期早产儿视网膜病变的婴儿行保留晶状体的玻璃体切除术的结果。方法：在一项回顾性、干预性、连续性临床病例系列研究中，回顾了4A期早产儿视网膜病变患者行保留晶状体的玻璃体切除术治疗进行性视网膜脱离的记录。视网膜附着状态，扭转或逮捕视网膜拖曳，视力进行了评估后procedure.Results：32眼的29例患者进行了保留晶状体玻璃体切除术在平均孕后43周的年龄。32只眼中有30只（94%）在1次保留晶状体的玻璃体切除术后视网膜完全复位，视网膜拖曳停止或逆转。在21只眼睛中，有17只（81%）眼睛的视力至少为中心、稳定和未维持，有13只（62%）眼睛的视力至少为中心、稳定和维持，其中1只眼睛的视力达到20/40。保留晶状体的玻璃体切除术是治疗4A期早产儿视网膜病变患者威胁中心凹的视网膜脱离的安全有效的手术。
Objective: To describe the results of lens-sparing vitrectomy in infants with progressive, fovea-threatening, tractional retinal detachments associated with stage 4A retinopathy of prematurity.Methods: In a retrospective, interventional, consecutive clinical case series, the records of patients with stage 4A retinopathy of prematurity who underwent lens-sparing vitrectomy for progressive retinal detachments were reviewed. Retinal attachment status, reversed or arrested retinal dragging, and visual acuity were assessed after the procedure.Results: Thirty-two eyes of 29 patients underwent lens-sparing vitrectomy at a mean postconceptional age of 43 weeks. Thirty (94%) of 32 eyes had complete retinal reattachment and arrest or reversal of retinal dragging after 1 lens-sparing vitrectomy. Visual acuity of at least central, steady, and unmaintained was observed in 17 (81%) of the 21 eyes in which it was tested and at least central, steady, and maintained vision was measured in 13 (62%) of 21 eyes, with 1 eye achieving 20/40 visual acuity.Conclusions: Lens-sparing vitrectomy is a safe and effective procedure for the treatment of fovea-threatening retinal detachments in patients with stage 4A retinopathy of prematurity.