Cataract Extraction in Adults With Retinopathy of Prematurity

Krolicki, Thaddeus J.; Tasman, William

doi:10.1001/archopht.1995.01100020057028

Cited by 21 publications

(6 citation statements)

References 13 publications

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“…11,12 Occult CME and ERM may play a role in the decreased vision observed in this population. 9,12,13 Furthermore, longitudinal data on adults with a history of ROP show that these patients have a high risk for premature cataract formation, 14,15 glaucoma, [16][17][18][19] retinal tears, 20 and retinal detachments, [21][22][23] all of which may in part result from vitreous abnormalities. Some studies suggest that these complications occur with greater frequency with increasing severity of ROP, 15,19 yet severe complications can occur even in patients with regressed disease that never required treatment.…”

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confidence: 99%

Vitreous Bands Identified by Handheld Spectral-Domain Optical Coherence Tomography Among Premature Infants

et al. 2018

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IMPORTANCE Handheld spectral-domain optical coherence tomography (SD-OCT) can provide insights into the complex interactions occurring at the vitreoretinal interface in retinopathy of prematurity (ROP) to enhance our understanding of ROP pathology. OBJECTIVE To characterize vitreous bands in premature infants with use of handheld SD-OCT. DESIGN, SETTING, AND PARTICIPANTS Prospective cohort study conducted from July 7, 2015, to February 28, 2017, at 2 university-based neonatal intensive care units. Seventy-three premature infants who required routine ROP screening examination were recruited. Informed consent was obtained from all legal guardians. Trained graders who were masked to the clinical assessment analyzed each SD-OCT scan of the right eye for vitreoretinal findings. A third trained grader mediated disagreements. MAIN OUTCOMES AND MEASURES Associations between the presence of vitreous bands in premature infants with ROP diagnoses and the presence of other vitreoretinal SD-OCT findings were investigated. RESULTS Of the 73 infants recruited, 6 infants' parents withdrew their children from the study, and 2 infants were too hemodynamically unstable for imaging, leaving a total of 65 participants. Of these, 32 (49%) were female, 36 (55%) were white, 10 (15%) were Hispanic, 3 (5%) were Native American, 4 (6%) were African American, 4 (7%) were Asian/Pacific Islander, and 8 (12%) were other. The mean (SD) gestational age was 28 (2.7) weeks, the mean (SD) birth weight was 997 g (286 g), and the mean (SD) postmenstrual age at imaging was 34 (3) weeks (mean [SD] total of 3 [2] imaging sessions). Comparing the 24 infants (37%) who had a right eye vitreous band at any time with the 41 (63%) who did not, no difference in mean birth weight, gestational age, postmenstrual age at imaging, sex, or race/ethnicity was identified. No associations with ROP stage (eg, in 6 [25%] infants with vitreous bands vs 4 [9.8%] in those without; P = .23), presence of plus disease (2 [8%] vs 2 [5%]; P = .84), or type 1 ROP (3 [12%] vs 3 [7%]; P = .66) were identified. Vitreous bands were associated with epiretinal membrane detected on SD-OCT (P = .001) with an odds ratio of 9.4 (95% CI, 2.8-31.3) in 15 [62%] infants with vitreous bands vs 6 [15%] in those without. Vitreous bands were also associated with cystoid macular edema (in 15 [62%] infants with vitreous bands vs 1 [27%] in those without; P = .005) with an odds ratio of 4.5 (95% CI, 1.5-13.3). CONCLUSIONS AND RELEVANCE In this study, the development of vitreous bands was associated with both cystoid macular edema and epiretinal membrane. These findings suggest a tractional pathogenesis to these entities among premature infants. This study did not find a direct association between vitreous bands and severe ROP. Additional study is needed to determine whether vitreous bands represent subclinical hyaloidal organization leading to retinal detachment in advanced ROP.

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confidence: 99%

Vitreous Bands Identified by Handheld Spectral-Domain Optical Coherence Tomography Among Premature Infants

et al. 2018

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“…Improvement in visual acuity and fixation is evident after cataract surgery in ROP cases but is limited because of the ocular morbidities (Table 16.1) [3,6,44,47]. VAO is common after pediatric cataract surgery in children less than 1 year and depends whether PCCC and anterior vitrectomy is done or not [40,48].…”

Section: Postoperativementioning

confidence: 99%

“…Hence, the intraocular pressure and the optic disc cupping in these individuals should be monitored on follow-up. Retinal detachment (RD) is also one of the complications seen with pediatric cataract surgery and well documented after cataract surgery in adult ROP cases [6,47,51]. In preterm children with ROP, RD occurred in 3.5% of cases after cataract surgery [3].…”

Section: Postoperativementioning

confidence: 99%

Cataract Associated with ROP and Other Retinal Pathologies

Surve

Dhull²,

Khokhar

2021

Essentials of Pediatric Cataract Surgery

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“…However, the safety of phacoemulsification with intraocular lens (IOL) implantation in adults with history of ROP has been described 6. There appears to be an increased risk of intraoperative complications such as zonular weakness and chances of postoperative retinal detachment, but overall the results and improvement in visual acuity are encouraging 7. Yu et al 8 first reported encouraging surgical outcomes of IOL implantation in premature infants with cataract with or without ROP.…”

Section: Introductionmentioning

confidence: 99%