Scleral buckling for retinopathy of prematurity.
OBJECTIVE
This study was undertaken to determine the anatomic effectiveness of scleral buckling on eyes with stages 4A, 4B, and 5 retinopathy of prematurity.


METHODS
Seventy eyes of 44 infants had scleral buckling performed by one surgeon and were followed for at least 6 months. All except one child had previous bilateral peripheral ablation (cryo/laser).


RESULTS
Twelve (70%) of 17 stage 4A eyes, 29 (67%) of 43 stage 4B eyes, and 4 (40%) of 10 stage 5 eyes had complete retinal reattachment or dry folds attached at their last follow-up visit. All eyes referred as stage 5 retinopathy of prematurity that reattached had a rhegmatogenous component.


CONCLUSIONS
Scleral buckling appears to play a role in reducing progression from stage 4 to stage 5 retinopathy of prematurity.
Trese
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Associated Retinal Consultants, Royal Oak, MI 48073.
D003452:Cryosurgery; D005260:Female; D005500:Follow-Up Studies; D005654:Fundus Oculi; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D053685:Laser Therapy; D008297:Male; D011379:Prognosis; D012163:Retinal Detachment / Q000601:surgery; D012178:Retinopathy of Prematurity / Q000601:surgery*; D012189:Retrospective Studies; D012591:Scleral Buckling; D014821:Vitrectomy