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Macular Development in Aggressive Posterior Retinopathy of Prematurity.

Pandya HK, Faia LJ, Robinson J, Drenser KA - Biomed Res Int (2015)

Bottom Line: Results.Three eyes developed 4A detachments, which were successfully treated.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Kresge Eye Institute, Wayne State University, Detroit, MI, USA.

ABSTRACT
Purpose. To report anatomic outcomes after early and confluent laser photocoagulation of the entire avascular retina, including areas in close proximity to the fovea, in patients with APROP. We aspire to demonstrate fundoscopic evidence of transverse growth and macular development following laser treatment in APROP. Methods. Retrospective review of 6 eyes with APROP that underwent confluent laser photocoagulation of the entire avascular retina. Photographic fundoscopic imaging was performed using the RetCam to compare outcomes after treatment. Results. Mean birth weight and gestational age were 704.8 g and 24.33 weeks, respectively. There were 2 females and 1 male. The average time to laser was 9.3 weeks after birth, with the mean postmenstrual age of 34 weeks. Two eyes had zone 1 and 4 eyes had posterior zone 2 disease. Three eyes developed 4A detachments, which were successfully treated. All 6 eyes experienced transverse growth, with expansion of the posterior pole and anterior displacement of the laser treatment. Conclusion. Confluent photocoagulation of the entire avascular retina, regardless of foveal proximity, should be the mainstay for treating APROP. Examination should be conducted within 5-10 days to examine areas previously hidden by neovascularization to ensure prudent therapy. Macular development involves both transverse and anterior-posterior growth.

No MeSH data available.


Related in: MedlinePlus

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Mentions: In all six of our treated eyes, there was no evidence of posterior creep. In fact, our serial photography demonstrated evidence of anterior displacement of the applied confluent laser. Four representative eyes from two patients—one with zone 1 disease and one with posterior zone 2 disease—are shown in Figures 1 and 2. In addition, Figure 3 contains wide-field fundus photography of a 7-year-old patient who initially presented with zone 1 disease (Figure 3). Interestingly, the patient's best-corrected visual acuity was 20/40, macula was flat, and all applied confluent laser photocoagulation scars were displaced anteriorly.


Macular Development in Aggressive Posterior Retinopathy of Prematurity.

Pandya HK, Faia LJ, Robinson J, Drenser KA - Biomed Res Int (2015)

© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4488519&req=5

Mentions: In all six of our treated eyes, there was no evidence of posterior creep. In fact, our serial photography demonstrated evidence of anterior displacement of the applied confluent laser. Four representative eyes from two patients—one with zone 1 disease and one with posterior zone 2 disease—are shown in Figures 1 and 2. In addition, Figure 3 contains wide-field fundus photography of a 7-year-old patient who initially presented with zone 1 disease (Figure 3). Interestingly, the patient's best-corrected visual acuity was 20/40, macula was flat, and all applied confluent laser photocoagulation scars were displaced anteriorly.

Bottom Line: Results.Three eyes developed 4A detachments, which were successfully treated.Conclusion.

View Article: PubMed Central - PubMed

Affiliation: Kresge Eye Institute, Wayne State University, Detroit, MI, USA.

ABSTRACT
Purpose. To report anatomic outcomes after early and confluent laser photocoagulation of the entire avascular retina, including areas in close proximity to the fovea, in patients with APROP. We aspire to demonstrate fundoscopic evidence of transverse growth and macular development following laser treatment in APROP. Methods. Retrospective review of 6 eyes with APROP that underwent confluent laser photocoagulation of the entire avascular retina. Photographic fundoscopic imaging was performed using the RetCam to compare outcomes after treatment. Results. Mean birth weight and gestational age were 704.8 g and 24.33 weeks, respectively. There were 2 females and 1 male. The average time to laser was 9.3 weeks after birth, with the mean postmenstrual age of 34 weeks. Two eyes had zone 1 and 4 eyes had posterior zone 2 disease. Three eyes developed 4A detachments, which were successfully treated. All 6 eyes experienced transverse growth, with expansion of the posterior pole and anterior displacement of the laser treatment. Conclusion. Confluent photocoagulation of the entire avascular retina, regardless of foveal proximity, should be the mainstay for treating APROP. Examination should be conducted within 5-10 days to examine areas previously hidden by neovascularization to ensure prudent therapy. Macular development involves both transverse and anterior-posterior growth.

No MeSH data available.


Related in: MedlinePlus