Lens-sparing vitrectomy for stage 4 retinopathy of prematurity
Lens-sparing vitrectomy for stage 4 retinopathy of prematurity
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DOI：
10.1016/j.ophtha.2004.05.030
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发表时间：
2004-12-01
期刊：
影响因子：
13.7
通讯作者：
Burian, G
中科院分区：
文献类型：
--
作者：
Hubbard, GB;Cherwick, DH;Burian, G
目的：探讨保留晶状体玻璃体切割术治疗牵引性4期早产儿视网膜病变(ROP)的解剖学结果。设计：连续非对照病例。参与者：牵引性4期ROP患者24例37眼。干预：保留晶状体玻璃体切割术。主要观察指标：视网膜解剖状况。结果：25眼为4A期ROP，12眼为413期ROP。平均随访13个月(范围6-27个月)，37只眼中有32只眼(86%)视网膜完全复位。在4A的ROP中，25只眼中有21只眼(84%)视网膜完全复位。在413只眼ROP中，11只眼(92%)视网膜完全复位。最后随访37只眼，其中29只眼(78%)获得固定和随访。结论：保留晶状体的玻璃体切割术是牵拉性4期ROP视网膜复位术的有效方法。眼科2004；美国眼科学会111：2274-2277(C)2004。
Purpose: To investigate the anatomic results of lens-sparing vitrectomy for tractional stage 4 retincipathy of prematurity (ROP).Design: Retrospective, noncomparative consecutive case series.Participants: Thirty-seven eyes (24 patients) with tractional stage 4 ROP.Intervention: Lens-sparing vitrectomy.Main Outcome Measure: Anatomic status of the retina.Results: Twenty-five eyes had stage 4A ROP, and 12 eyes had stage 413 ROP. With a median follow-up of 13 months (range, 6-27), 32 of 37 eyes (86%) had complete reattachment of the retina. Among eyes with 4A ROP, 21 of 25 eyes (84%) had complete retinal reattachment. Among eyes with 413 ROP, 11 of 12 eyes (92%) had complete retinal reattachment. At last follow-up, 29 of 37 eyes (78%) were able to fix and follow.Conclusions: These results indicate that lens-sparing vitrectomy is effective for achieving retinal reattachment in tractional stage 4 ROP. Ophthalmology 2004;111:2274-2277 (C) 2004 by the American Academy of Ophthalmology.