title: Scleral buckling surgery for stage 4B retinopathy of prematurity.
abstract: Results of scleral buckling in 15 consecutive eyes of 13 infants with stage 4B retinopathy of prematurity (ROP) were reviewed. Ten of 15 retinas achieved macular reattachment with a single scleral buckling procedure. Four of 15 retinas unable to be attached by scleral buckling were reattached after the addition of a single vitreous operation. One of 15 retinas was unable to be reattached despite both a scleral buckling and a single vitreous procedure. Despite macular attachment in all except one eye, visual results were disappointing. Fix and follow visual acuity was present in 3 eyes, light perception in 11 eyes, and no light perception in 1 eye. Average follow-up was 10 months. Possible causes for poor visual outcomes despite retinal reattachment include retinal abnormalities as a result of detachment and amblyopia.
authors.affiliation: Department of Ophthalmology, Duke University Eye Center, Durham, NC.
authors.forename: S W
authors.initials: SW
authors.lastname: Noorily
authors.forename: K
authors.initials: K
authors.lastname: Small
authors.forename: E
authors.initials: E
authors.lastname: de Juan
authors.forename: R
authors.initials: R
authors.lastname: Machemer
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D005654:Fundus Oculi; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011379:Prognosis; D012178:Retinopathy of Prematurity / Q000000981:diagnostic imaging / Q000601:surgery*; D012591:Scleral Buckling; D016896:Treatment Outcome; D014463:Ultrasonography; D014792:Visual Acuity; D014821:Vitrectomy