VITRECTOMY FOR ADVANCED STAGES OF RETINOPATHY OF PREMATURITY
VITRECTOMY FOR ADVANCED STAGES OF RETINOPATHY OF PREMATURITY
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DOI：
10.1016/0002-9394(86)90397-1
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发表时间：
1986-12-01
影响因子：
4.2
通讯作者：
DEJUAN, E
中科院分区：
文献类型：
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作者：
CHONG, LP;MACHEMER, R;DEJUAN, E
我们回顾性分析了在我们机构进行的连续玻璃体切除术治疗与早产儿视网膜病变相关的牵引性视网膜脱离。年龄小于1岁的46例58眼，其中部分视网膜脱离12眼，完全视网膜脱离46眼。只有至少随访六个月的患者才被视为成功。25只眼（43%）解剖复位。与良好解剖结局相关的因素包括术前平均瞳孔扩张较大、无后粘连、深前房、部分脱离或开放漏斗型完全脱离构型以及充分的后膜去除。在视网膜附着的25只眼中，11只具有固视和随动视力或更好。视网膜附着3眼无光觉，11眼仅有光觉。为了最大限度地提高解剖和功能的结果，我们强调需要早期手术，当视网膜漏斗仍然开放。
We did a retrospective review of the consecutive vitrectomies for traction retinal detachment associated with retinopathy of prematurity performed at our institution. Fifty-eight eyes were operated on in 46 patients at less than 1 year of age, including 12 eyes with partial retinal detachments and 46 eyes with total retinal detachments. Only patients with at least six months follow-up were considered for success. Twenty-five eyes (43%) were anatomically reattached. Factors associated with good anatomic outcome included greater mean preoperative pupillary dilation, absence of posterior synechiae, deep anterior chamber, partial detachment or open-funnel total detachment configuration, and adequate posterior membrane removal. Of the 25 eyes with attached retinas, 11 had fixing and following visual acuities or better. Three eyes with attached retinas had no light perception and 11 eyes with attached retinas had light perception only. To maximize anatomic and functional results we emphasize the need to operate early, when the retinal funnel is still open.