1. <Review> Surgical Management of Severe Retinopathy of Prematurity
- Author
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Kusaka, Shunji and Kusaka, Shunji
- Abstract
type:Departmental Bulletin Paper, [Abstract] Retinopathy of prematurity (ROP) is a leading cause of childhood blindness in the world. Appropriate eye screening and interventions, such as laser ablation and/or anti-vascular endothelial growth factor therapy, are useful to prevent blindness by ROP. However, some eyes are refractory to these treatments and develop tractional retinal detachment, which requires surgical intervention, such as vitrectomy and/or the scleral buckling procedure. When vitrectomy was introduced for ROP, it was initially performed at stage 5 (total retinal detachment). Vitrectomy for stage 5 ROP is beneficial to prevent total blindness in some eyes; however, its anatomical and functional results are disappointing. It is now well-established that vitrectomy, if possible lens-sparing vitrectomy, should be performed at stage 4A ROP (partial tractional retinal detachment not involving the macula) before the macula is affected. The anatomical and functional surgical results of vitrectomy for stage 4A ROP are better than those for stage 5 ROP.
- Published
- 2018