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Scleral Buckling in Stages 4B and 5 Retinopathy of Prematurity

  • Craig M. Greven
  • William S. Tasman

Abstract

Severe visual loss in infants with retinopathy of prematurity (ROP) may occur secondary to macular dragging or retinal detachment. The collaborative cryotherapy ROP study has shown that cryotherapy to the avascular retina can decrease the incidence of unfavorable retinal outcomes in selected infants.1 Despite this treatment modality, some infants develop retinal detachments. Treatment of these detached retinas by scleral buckling and vitrectomy techniques has been reported.2 – 11 However, long-term follow-up and visual results are often unavailable. We retrospectively reviewed all cases of infants younger than 18 months undergoing a primary scleral buckle for traction retinal detachment secondary to ROP. Follow-up of 6 months or longer was available on all patients. Anatomic reattachment results and the visual acuities of these children were reviewed.

Keywords

Retinal Detachment Light Perception Subretinal Fluid Scleral Buckling Anatomic Success 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Cryotherapy for Retinopathy of Prematurity Cooperative Group. Multicenter trial of cryotherapy for retinopathy of prematurity: preliminary results. Arch Ophthalmol 1988; 106: 471–479.Google Scholar
  2. 2.
    Tassman W, Annesley W. Retinal detachment in the retinopathy of prematurity. Arch Ophthalmol 1966; 75: 608–614.PubMedGoogle Scholar
  3. 3.
    Tasman W. Retinal detachment in retrolental fibroplasia. Graefes Arch Clin Exp Ophthalmol 1975; 195: 129–139.CrossRefGoogle Scholar
  4. 4.
    Grunwald E, Yessur Y, BenSira I. Buckling procedures for retinal detachment caused by retrolental fibroplasia in premature babies. Br J. Ophthalmol 1980; 64: 98–101.PubMedCrossRefGoogle Scholar
  5. 5.
    McPherson A, Hittner HM. Scleral buckling in 2z to 11-month-old premature infants with retinal detachment associated with acute retrolental fibroplasia. Ophthalmology 1979; 86: 819–835.PubMedGoogle Scholar
  6. 6.
    McPherson AR, Hittner HM, Lemos R. Retinal detachment in young premature infants with acute retrolental fibroplasia. Ophthalmology 1982; 89: 1160–1169.PubMedGoogle Scholar
  7. 7.
    Topilow HW, Ackerman AL, Wang FM. The treatment of advanced retinopathy of prematurity by cryotherapy and scleral buckling surgery. Ophthalmology 1985; 92: 379–387.PubMedGoogle Scholar
  8. 8.
    Lightfoot D, Irvine AR. Vitrectomy in infants and children with retinal detachments caused by cicatricial retrolental fibroplasia. Am J Ophthalmol 1982; 94: 305–312.PubMedGoogle Scholar
  9. 9.
    Machemer R. Closed vitrectomy for severe retrolental fibroplasia in the infant. Ophthalmology 1983; 90: 436–441.PubMedGoogle Scholar
  10. 10.
    Trese MT. Surgical results of stage V retrolental fibroplasia and timing of surgical repair. Ophthalmology 1984; 91: 461–466.PubMedGoogle Scholar
  11. 11.
    Tasman W, Barrone RN, Bolling J. Open sky vitrectomy for total retinal detachment in retinopathy of prematurity. Ophthalmology 1987; 94: 449.PubMedGoogle Scholar
  12. 12.
    The Committee for the Classification of Retinopathy of Prematurity. An international classification of retinopathy of prematurity. Arch Ophthalmol 1984; 102: 1130–1134.Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1992

Authors and Affiliations

  • Craig M. Greven
  • William S. Tasman

There are no affiliations available

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