Outcome of eyes developing retinal detachment during the Early Treatment for Retinopathy of Prematurity study.
Outcome of eyes developing retinal detachment during the Early Treatment for Retinopathy of Prematurity study.
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DOI：
10.1001/archophthalmol.2011.229
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发表时间：
2011-09
影响因子：
--
通讯作者：
Shapiro, Michael J.
中科院分区：
文献类型：
--
作者：
Repka, Michael X.;Tung, Betty;Good, William V.;Capone, Antonio, Jr.;Shapiro, Michael J.
描述早产儿视网膜病变（ROP）早期治疗（ETROP）研究中6岁时早产儿视网膜病变（ROP）视网膜脱离（RD）的结构和视力结局。前瞻性多中心非随机系列研究，研究者判定在矫正年龄6个月时发生RD的高风险阈值前ROP婴儿，通过观察或玻璃体视网膜手术进行管理。ETROP入组了401例受试者。63例受试者的89只眼发生RD。49例受试者的70只眼（79%）在6岁时进行了随访。RD为4A期28眼（40%），4 B期14眼（20%），5期13眼（19%），未分类15眼（21%）。玻璃体切除联合或不联合巩膜扣带术后黄斑复位17/50眼（34%），单纯巩膜扣带术后黄斑复位6/9眼（67%），观察11眼中黄斑复位2/11眼（18%）。在玻璃体视网膜手术后6岁时，16只4A期眼睛中有5只（31%），10只4 B期眼睛中有6只（60%），10只5期眼睛中没有黄斑附着。70只眼中有6只眼（8.6%）视力良好（> 20/200），5只眼为4A期，1只眼未分类。10只5期眼接受了玻璃体视网膜手术; 1只保留了光感，8只失明，1只无法测试。约三分之一的RD患眼实现了黄斑附着，一些4A期患眼的视力良好。这些数据证实了一旦ROP发展到脱离，获得有用视力的困难。
To describe the structural and visual outcomes at age 6 years of retinal detachment (RD) from retinopathy of prematurity (ROP) in the Early Treatment of ROP (ETROP) study. Prospective multi-center non-randomized series of infants with high-risk prethreshold ROP who developed an RD by 6 months corrected age managed with observation or vitreoretinal surgery at investigator discretion. 401 subjects were enrolled in ETROP. RD occurred in 89 eyes of 63 subjects. Follow-up at age 6 years was available for 70 eyes (79%) of 49 subjects. The RDs were stage 4A in 28 eyes (40%), stage 4B in 14(20%), stage 5 in 13(19%), and not classified in 15(21%). The macula was attached in 17 of 50 eyes (34%) following vitrectomy with or without scleral buckle, in 6 of 9(67%) following scleral buckle only, and in 2 of 11 eyes (18%) observed. An attached macula at 6 years of age following vitreoretinal surgery was present in 5 of 16 eyes with stage 4A(31%), 6 of 10 with stage 4B(60%) and 0 of 10 with stage 5. Favorable visual acuity (> 20/200) was found in 6 of 70 eyes (8.6%); 5 had stage 4A, one not classified. Ten stage 5 eyes underwent vitreoretinal surgery; one retained light perception, 8 were blind and 1 was untestable. Macular attachment was achieved in about one-third of eyes with RD and favorable visual acuity for some eyes with stage 4A. These data confirm the difficulty of obtaining useful vision once ROP has progressed to detachment.
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影响因子：
--
作者：
Hardy, RJ;Palmer, EA;Tung, B
通讯作者：
Tung, B
影响因子：
13.7
作者：
Hubbard, GB;Cherwick, DH;Burian, G
通讯作者：
Burian, G
影响因子：
13.7
作者：
Capone, A;Trese, MT
通讯作者：
Trese, MT
DOI：
10.1097/00006982-200406000-00006
发表时间：
2004-06-01
影响因子：
3.3
作者：
Park, KH;Hwang, JM;Chung, H
通讯作者：
Chung, H
影响因子：
13.7
作者：
Prenner, JL;Capone, A;Trese, MT
通讯作者：
Trese, MT