Visual acuity in infants after vitrectomy for severe retinopathy of prematurity.
Visual acuity in infants after vitrectomy for severe retinopathy of prematurity.
复制标题
严重早产儿视网膜病变玻璃体切除术后婴儿的视力。
DOI：
10.1016/s0161-6420(91)32343-1
复制
发表时间：
1991
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：
Quinn,GE;Dobson,V;Barr,CC;Davis,BR;Flynn,JT;Palmer,EA;Robertson,J;Trese,MT
在冷冻治疗早产儿视网膜病变多中心试验(CRYO-ROP)的过程中，随机分组的98名婴儿(129只眼)在一年的检查前发生了早产儿视网膜病变(ROP)的完全性视网膜脱离。作者报告了53例(71眼)玻璃体切除术后1年的单眼光栅视力卡评估结果，以及45例(58眼)有视网膜脱离但未行视网膜复位术的婴儿。进行视网膜复位术的决定和使用的手术技术不是随机冷冻试验的一部分。玻璃体切割术后，1只婴儿的双眼在最低可测量阈值处有花样视力。其余接受玻璃体切除手术的眼睛和没有接受玻璃体切除手术的眼睛都没有表现出模式视觉的证据。这一系列病例中相对较差的视力结果表明，在试图预防ROP的视网膜脱离方面，努力是值得的。
During the course of the Multicenter Trial of Cryotherapy for Retinopathy of Prematurity (CRYO-ROP), 98 infants (129 eyes) from the randomized segment of the trial developed total retinal detachment from retinopathy of prematurity (ROP) before the 1-year examination. The authors report as a case series the results of acuity card assessment of monocular grating acuity at 1 year in 53 infants (71 eyes) postvitrectomy and in 45 infants (58 eyes) who had retinal detachments but who did not undergo retinal reattachment surgery. The decision to undertake and the surgical technique used for a retinal reattachment procedure was not part of the randomized CRYO-ROP trial. Two eyes of one infant had pattern vision at the lowest measurable threshold after vitrectomy. None of the remaining eyes that had undergone vitrectomy and none of the eyes that did not undergo vitrectomy showed evidence of pattern vision. The relatively poor visual outcomes in this case series suggest that efforts are well-spent in attempting to prevent retinal detachment in ROP.