PMID: 3755232May 1, 1986Paper

Visual results and prognostic factors for vision following surgery for stage V retinopathy of prematurity

Ophthalmology
M T Trese

Abstract

As our surgical techniques improve we are able to achieve anatomic retinal reattachment in 48% of eyes with advanced retinopathy of prematurity. Only 31% of these eyes, however, have achieved visual function by the six-month follow-up visit. In an attempt to determine the factors that lead to better visual outcome, we analyzed 85 eyes of 45 children who underwent surgical therapy for Stage V retinopathy of prematurity by one surgeon. These eyes were followed from 6 to 36 months. We analyzed the timing of surgery, retinal configuration, subretinal fluid composition, and appearance of retinal pigment epithelium following resolution of detachment as these related to visual results. We also used visual evoked response testing in an attempt to predict which eyes might achieve visual function. Children with best visual results tended to have rapidly regressing vascular activity, were operated earlier, and had little subretinal exudate sparing the macula and little alteration of RPE following retinal reattachment, and if measured, low iron concentration in subretinal fluid.

References

Jan 1, 1975·Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie. Albrecht Von Graefe's Archive for Clinical and Experimental Ophthalmology·R Y Foos
Aug 1, 1955·The British Journal of Ophthalmology·N ASHTON, C COOK

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Citations

Jan 1, 1989·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·J G ClarksonJ T Flynn
Nov 28, 2007·Retina·Robert W WongJoshua L Dunaief
Feb 1, 1990·Australian and New Zealand Journal of Ophthalmology·R Machemer, E deJuan
Apr 1, 1996·The British Journal of Ophthalmology·D M Knight-NananM O'Keefe
Dec 15, 1986·American Journal of Ophthalmology·L P ChongE de Juan
Jul 1, 1991·Ophthalmology·J D Bradford, M T Trese
Jul 1, 1988·Ophthalmology·E de JuanR Machemer
Oct 29, 2015·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Salil S GadkariSucheta Kulkarni
Oct 9, 2007·Progress in Retinal and Eye Research·Xining HeJoshua L Dunaief
Jan 1, 1987·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·M T Trese
Feb 6, 2007·Journal of Pediatric Ophthalmology and Strabismus·Eduardo J MaidanaNilva S B Moraes
Jul 1, 1988·Survey of Ophthalmology·I Ben SiraI Kremer
Sep 1, 1992·Current Problems in Pediatrics·D L Phelps

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