Refractive Changes Associated With Scleral Buckling and Division in Retinopathy of Prematurity

Chow, David R.; Ferrone, Philip J.; Trese, Michael T.

doi:10.1001/archopht.116.11.1446

Cited by 62 publications

(30 citation statements)

References 6 publications

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“…Second, it does not restore normal retinal anatomy and finally it causes anisometropia, which can lead to amblyopia. 19 Observation is also an option in certain stage 4a detachments as some of these get better spontaneously. But these should not be progressive with the absence of plus disease.…”

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of simultaneous bilateral 25-gauge lens-sparing vitrectomy for vascularly active stage 4 retinopathy of prematurity

Shah

Narendran

2015

Eye

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Purpose To report the safety and efficacy of simultaneous bilateral 25-gauge lens-sparing vitrectomy for vascularly active stage 4 retinopathy of prematurity (ROP). Methods Retrospective, noncomparative, consecutive case series. Twenty eyes of 10 babies who presented with vascularly active stage 4 ROP in both the eyes underwent simultaneous bilateral 25-gauge lens-sparing vitrectomy. After completing surgery for one eye, the other eye was re-prepped as performed before starting any new case of a different patient and an entire new set of disposable 25-gauge instruments were used. During the post-operative period parents were advised to keep separate eye drops for each eye and to wash their hands in between switching the eyes to put the drops. Results The mean follow-up was 8.7 months (range 4-17 months). None of the cases developed any signs of infection. The anatomic success rate for stage 4a was 100% (11/11 eyes) and for stage 4b was 8/9 eyes (89%). Conclusion These results show that simultaneous bilateral 25-gauge lens-sparing vitrectomy for stage 4 ROP is a safe and effective procedure with a good outcome provided both eyes of the baby are treated as eyes of two different patients.

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Section: Discussionmentioning

confidence: 99%

Safety and efficacy of simultaneous bilateral 25-gauge lens-sparing vitrectomy for vascularly active stage 4 retinopathy of prematurity

Shah

Narendran

2015

Eye

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“…It also induces anisometropia of À9.5 D with residual myopia of À5 D even after the buckle is divided. 12 Maguire and Trese 13 have reported two port vitrectomy for these eyes using an infusion light pipe and vitreous cutter. However, we have used only the standard three port vitrectomy.…”

Section: Discussionmentioning

confidence: 99%

Anatomical and visual outcome of stages 4 and 5 retinopathy of prematurity

Shah

Narendran

et al. 2007

Eye

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“…Postoperative complications of scleral buckling in children range from refractive amblyopia due to the development of myopia to alteration of eye growth. To avoid these complications, the band is cut in children younger than 3 years approximately 3 months after the scleral buckling operation, once a stable retinal reattachment has been achieved, but the recommendations in the literature vary [27,28].…”

Section: Encircling Bandmentioning

confidence: 99%