title: Advanced retinopathy of prematurity. The anatomic and visual results of vitreous surgery.
abstract: The anatomic and visual results of vitreous surgery in 140 eyes of 108 children with stage 4 and 5 retinopathy of prematurity (ROP) were reviewed. Macular attachment was achieved in 9 (64%) of 14 eyes with stage 4. In stage 5 eyes, partial posterior attachment was obtained in 38 (31%) of 121 eyes and complete posterior attachment was obtained in 11 eyes (9%). Final visual acuity of fix and follow or greater occurred in 6 (43%) of 14 eyes with stage 4 and in 13 eyes (11%) with stage 5 ROP. Retinal detachment (RD) funnel configurations were classified according to the International Committee on ROP. The funnel type which was wide anteriorly and wide posteriorly had the best anatomic (63%) and visual (19%) success. Reoperation rarely improved visual acuity (4%), although reattachment was possible in 6 (22%) of 27 eyes. All children in this series underwent surgery by 2 years of age. Anatomic and visual success was achieved less often in children who underwent surgery at age 6 months or younger.
authors.affiliation: Devers Eye Institute, Portland.
authors.forename: J D
authors.initials: JD
authors.lastname: Zilis
authors.forename: E
authors.initials: E
authors.lastname: deJuan
authors.forename: R
authors.initials: R
authors.lastname: Machemer
mesh_terms: D000367:Age Factors; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011182:Postoperative Care; D011379:Prognosis; D012086:Reoperation; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D012178:Retinopathy of Prematurity / Q000150:complications* / Q000601:surgery; D014792:Visual Acuity; D014821:Vitrectomy