Long-Term Anatomic and Visual Outcome Following Vitrectomy for Stage 4B and 5 Retinopathy of Prematurity

• Published in: Ophthalmic surgery, lasers & imaging retina Vol. 50; no. 4; p. 208
• Main Authors: Gusson, Elena, Bosello, Francesca, Allegrini, Francesca, Firolli, Lucia, Tomaello, Ilaria, Marchini, Giorgio, Micciolo, Rocco, Pignatto, Silvia, Capone, Jr, Antonio
• Format: Journal Article
• Language: English
• Published: United States 01-04-2019
• Subjects: Female; Follow-Up Studies; Forecasting; Gestational Age; Humans; Infant, Newborn; Male; Ophthalmoscopy - methods; Retina - diagnostic imaging; Retinopathy of Prematurity - diagnosis; Retinopathy of Prematurity - surgery; Retrospective Studies; Severity of Illness Index; Visual Acuity; Vitrectomy - methods
• ISSN: 2325-8179
• DOI: 10.3928/23258160-20190401-02

Surgical indications in stages 4B and 5 retinopathy of prematurity (ROP) are not universally accepted. The authors' purpose is to evaluate the long-term anatomic and visual outcomes of vitrectomy for retinal detachment (RD) associated with stages 4B and 5 ROP.
Data of patients who consecutively underwent vitrectomy for stages 4B and 5 ROP from 1999 to 2013 were retrospectively reviewed and included grade of retinal attachment and visual acuity (VA) at the last follow-up.
Seventy eyes of 38 infants were included: 23 with stage 4B and 47 with stage 5 ROP. Lens-sparing vitrectomy was performed in 11 eyes, combined lensectomy / vitrectomy in 59 eyes. Mean follow-up was 8.5 years. Anatomic success was maintained in 41 eyes (58.5%), and among them, VA greater than 5/200 was achieved in 17 eyes (41.4%).
The long-term visual and anatomic success rates were encouraging for the surgical correction of RD associated with late stages ROP. [Ophthalmic Surg Lasers Imaging Retina. 2019;50:208-214.].