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Br J Ophthalmol 2004;88:243-246 doi:10.1136/bjo.2003.022962
  • Clinical science
    • Extended reports

Late onset vitreoretinal complications of regressed retinopathy of prematurity

  1. A Tufail1,
  2. A J Singh2,
  3. R J Haynes2,
  4. C R Dodd2,
  5. D McLeod2,
  6. D G Charteris1,2
  1. 1Moorfields Eye Hospital, City Road, London, UK
  2. 2Academic Department of Ophthalmology, Manchester Royal Eye Hospital, Manchester, UK
  1. Correspondence to: Mr Adnan Tufail Moorfields Eye Hospital, City Road, London EC1V 2PD, UK; david.charterismoorfields.nhs.uk
  • Accepted 7 April 2003

Abstract

Aim: To report the clinical findings, management, and outcomes in eyes undergoing surgery for regressed retinopathy of prematurity (ROP) with vitreoretinal complications.

Method: Retrospective review of 40 eyes of 32 patients with regressed ROP who presented between 1989 and 2001 at two UK referral centres.

Results: Of 29 eyes presenting with rhegmatogenous retinal detachment (RRD), 15 initially underwent a scleral buckling procedure and 14 initially underwent vitrectomy with or without additional buckling. Primary surgery was anatomically successful in 11/15 eyes that underwent a non-vitrectomy retinal detachment repair and 8/14 that required vitrectomy. The final reattachment rate after reoperation was 28/29 eyes. Median visual acuity improved from 6/60 to 6/36 following retinal detachment repair. A further 11 eyes of eight patients from this series underwent prophylactic surgery, laser, or cryotherapy for predisposing vitreoretinal pathology and/or retinal breaks, all of which were stabilised.

Conclusions: In eyes with RRD and signs of regressed ROP successful reattachment of the retina can be achieved using either vitrectomy or external surgery with an associated overall improvement in visual acuity. A range of external and closed microsurgical approaches is required to effectively deal with the diverse manifestations of regressed ROP.

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