Adult retinopathy of prematurity - Outcomes of rhegmatogenous retinal detachments and retinal tears
Adult retinopathy of prematurity - Outcomes of rhegmatogenous retinal detachments and retinal tears
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DOI：
10.1016/s0161-6420(01)00660-1
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发表时间：
2001-09-01
期刊：
影响因子：
13.7
通讯作者：
Cox, MS
中科院分区：
文献类型：
--
作者：
Kaiser, RS;Trese, MT;Cox, MS
目的：描述成人早产儿视网膜病变（ROP）视网膜撕裂和孔源性视网膜脱离（RD）的结果。设计：非比较性介入病例系列。方法：对108例15岁及以上患者的216只眼进行回顾性队列研究，随访时间长达23年（中位6.2年）。结果：1只眼睛最初出现RD，随访期间30只眼睛出现RD。31只视网膜撕裂眼中有7只（23%）需要进行额外的手术治疗。4只眼睛最初出现视网膜撕裂，随访期间19只眼睛出现视网膜撕裂，23只眼睛中有7只（30%）视网膜撕裂最初修复失败。ROP术后瘢痕性改变最小的眼睛仍有发生泪液和脱离的高风险。80%患有视网膜撕裂的眼睛和60%患有视网膜撕裂的眼睛在期末考试中视力都保持在20/60的水平。结论：在有早产史的患者中，眼底检查的特征与视网膜撕裂或RD的发生无关。这类患者的撕裂或脱离的修复更有可能需要多次手术，但仍然可以获得良好的视力结果。医生应考虑对任何有早产史的患者进行玻璃体视网膜牵引术以减轻撕裂或脱离。
Purpose: To describe the results of retinal tears and rhegmatogenous retinal detachments (RD) in adults with retinopathy of prematurity (ROP).Design: Noncomparitive interventional case series.Methods: Retrospective cohort of 216 eyes of 108 patients, 15 years or older, followed for up to 23 years (median, 6.2 years).Results: One eye was initially seen with an RD, and during follow-up 30 eyes had an RD develop. An additional surgical procedure was required in 7 of the 31 eyes (23%) with an RD. Four eyes were initially seen with retinal tears, and during follow-up 19 eyes had a retinal tear develop, Seven of the 23 eyes (30%) with a retinal tear had initial repair fail. Eyes with minimal cicatricial changes from ROP were still at high risk for tears and detachments developing. Eighty percent of eyes with retinal tears and 60% of eyes with an RD that started with vision > 20/60 maintained that level of vision at the final examination.Conclusion: In patients with a history of premature birth, features of fundus examinations do not correlate with the occurrence of a retinal tear or RD. Repair of a tear or detachment in such a patient is more likely to require multiple procedures but can still be associated with good visual results. Physicians should consider widespread relief of vitreoretinal traction for a tear or detachment in any patient with a history of premature birth.