Visual outcomes after lens-sparing vitrectomy for stage 4A retinopathy of prematurity
Visual outcomes after lens-sparing vitrectomy for stage 4A retinopathy of prematurity
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DOI：
10.1016/j.ophtha.2004.06.021
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发表时间：
2004-12-01
期刊：
影响因子：
13.7
通讯作者：
Trese, MT
中科院分区：
文献类型：
--
作者：
Prenner, JL;Capone, A;Trese, MT
目的：为了评估视力的结果与阶段4A视网膜脱离（RD）的早产儿视网膜病变（ROP）的患者。设计：回顾性审查的一个连续的情况下，一系列的儿童转介到儿科视网膜服务的相关视网膜顾问，皇家橡树，Michigan.Participants：45眼的39 children.Methods：阶段的RD为每个病人在麻醉下的检查过程中确定。所有患者均接受了保留晶状体的睫状体平坦部玻璃体切除术（PPV）和膜剥离。在门诊检查或麻醉下检查期间通过检眼镜检查确定术后解剖状态。通过咨询儿科眼科医生使用Teller或艾伦acuities.Main Outcome Measures：Anatomic and visual outcomes.Results：20名儿童的23只眼进行了正式视力（VA）测量，19名儿童的22只眼未进行测量。所有23只接受正式测试的眼睛都成功实现了视网膜复位。在随访期间，23只眼中有19只（83%）黄斑正常，无变形。最小分辨角VA的平均对数为20/58。3只眼的视力为20/200，4只眼的视力为20/100。所有其他眼睛均为20/80或更好。平均年龄在VA的时间为3.51 years.Conclusions：ROP和阶段4A RD患者可以成功地治疗解剖和视觉效果方面利用保留晶状体的PPV。眼科学2004;111：2271-2273（C）2004，美国眼科学会。
Purpose: To assess the visual outcomes of patients with stage 4A retinal detachments (RDs) from retinopathy of prematurity (ROP).Design: Retrospective review of a consecutive case series of children referred to the pediatric retina service of Associated Retinal Consultants, Royal Oak, Michigan.Participants: Forty-five eyes of 39 children.Methods: The stage of RD for each patient was determined during an examination under anesthesia. All patients underwent a lens-sparing pars plana vitrectomy (PPV) with membrane peeling. Postoperative anatomic status was determined by ophthalmoscopy either during an office examination or during an examination under anesthesia. Visual outcomes were ascertained by consulting pediatric ophthalmologists using either Teller or Allen acuities.Main Outcome Measures: Anatomic and visual outcomes.Results: Formalized visual acuity (VA) measurement was performed in 23 eyes of 20 children, and was not performed in 22 eyes of 19 children. All 23 eyes that were formally tested had successful retinal reattachment. The macula appeared to be normal and without distortion in 19 of 23 eyes (83%) during the follow-up period. Average logarithm of the minimum angle of resolution VA was 20/58. Three eyes had acuities of 20/200, and 4 had acuities of 20/100. All other eyes were 20/80 or better. Average age at time of VA was 3.51 years.Conclusions: Patients with ROP and stage 4A RDs can be treated successfully with respect to anatomic and visual outcome utilizing lens-sparing PPV. Ophthalmology 2004;111:2271-2273 (C) 2004 by the American Academy of Ophthalmology.