ANATOMICAL OUTCOME OF 25-GAUGE VITRECTOMY ASSOCIATED WITH SCLERAL BUCKLING IN STAGE 5 RETINOPATHY OF PREMATURITY: A CASE SERIES STUDY

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ROUHIPOUR R.; RIAZI ESFAHANI M.; KARKHANEH R.; GHASEMI FARIBA; NILI AHMADABADI MAHDI

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Journal: JOURNAL OF CURRENT OPHTHALMOLOGY Year:2010 | Volume:22 | Issue:2 Page(s): 25-31

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Title

ANATOMICAL OUTCOME OF 25-GAUGE VITRECTOMY ASSOCIATED WITH SCLERAL BUCKLING IN STAGE 5 RETINOPATHY OF PREMATURITY: A CASE SERIES STUDY

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Keywords

RETINOPATHY OF PREMATURITY

25-GAUGE VITRECTOMY

SCLERAL BUCKLING

Abstract

Purpose: Our purpose is to determine the structural outcome of 25-GAUGE VITRECTOMY in addition to SCLERAL BUCKLING in stage 5 RETINOPATHY OF PREMATURITY (ROP). Methods: In a prospective interventional case series, 21 eyes with stage 5 ROP underwent 25-GAUGE VITRECTOMY and SCLERAL BUCKLING. Demographic data, disease activity (having plus disease or neovascularization) and the procedure manner were recorded. They were followed 12±2 (range 8-18) months. Anatomical outcomes were assessed during the follow-ups. Success rate was defined as totally reattached retina. In case of vascularly active disease, some eyes received laser therapy or intravitreal bevacizumab before progression to stage 5 ROP. Results: Twenty one eyes of 16 patients with stage 5 ROP with mean gestational age (GA) of 28±2 weeks and birth weight (BW) of 1190±314 g were included. Lensectomy was done in 81% of eyes. Total reattachment was achieved in 52.3% (success rate) and partial reattachment in 23.8% of the eyes. Reattachments were usually obtained during the first 2-4 weeks. Redetachment occurred in three eyes. Two of them redetached at month 10 and the other one at month 14. Final total reattachment was achieved in 38% of the eyes. Vascularly active disease was seen in 42.8% of the eyes before operation. Success rate was inversely related to disease activity (P=0.044) and directly related to presurgery treatments (P=0.024) [Laser therapy or intravitreal bevacizumab]. Conclusion: The structural outcome of 25-GAUGE VITRECTOMY in addition to SCLERAL BUCKLING in stage 5 ROP is promising and vascularly active disease will lower the outcome.

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APA: Copy

ROUHIPOUR, R., RIAZI ESFAHANI, M., KARKHANEH, R., GHASEMI, FARIBA, & NILI AHMADABADI, MAHDI. (2010). ANATOMICAL OUTCOME OF 25-GAUGE VITRECTOMY ASSOCIATED WITH SCLERAL BUCKLING IN STAGE 5 RETINOPATHY OF PREMATURITY: A CASE SERIES STUDY. JOURNAL OF CURRENT OPHTHALMOLOGY, 22(2), 25-31. SID. https://sid.ir/paper/557348/en

Vancouver: Copy

ROUHIPOUR R., RIAZI ESFAHANI M., KARKHANEH R., GHASEMI FARIBA, NILI AHMADABADI MAHDI. ANATOMICAL OUTCOME OF 25-GAUGE VITRECTOMY ASSOCIATED WITH SCLERAL BUCKLING IN STAGE 5 RETINOPATHY OF PREMATURITY: A CASE SERIES STUDY. JOURNAL OF CURRENT OPHTHALMOLOGY[Internet]. 2010;22(2):25-31. Available from: https://sid.ir/paper/557348/en

IEEE: Copy

R. ROUHIPOUR, M. RIAZI ESFAHANI, R. KARKHANEH, FARIBA GHASEMI, and MAHDI NILI AHMADABADI, “ANATOMICAL OUTCOME OF 25-GAUGE VITRECTOMY ASSOCIATED WITH SCLERAL BUCKLING IN STAGE 5 RETINOPATHY OF PREMATURITY: A CASE SERIES STUDY,” JOURNAL OF CURRENT OPHTHALMOLOGY, vol. 22, no. 2, pp. 25–31, 2010, [Online]. Available: https://sid.ir/paper/557348/en

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