[Full-sclera resection in treatment of retinopathy of prematurity stage 4b].
OBJECTIVE
The prognosis for vision in children with ROP stage 4b is extremely poor and our traditional methods of treatment of retinal detachment are usually ineffective because of marked retinal shortening. Therefore, in the paper a new method of surgical treatment of retinal detachment in stage 4b based on 180 degrees full-sclera resection is presented.


METHODS
14 patients with ROP stage 4b were treated with the use of 180 degrees full-sclera resection.


RESULTS
Retinal reattachment was obtained in 86% of operated patients. Visual acuity of 0.1 was found after the operation in 57% and 0.08-0.02 in 43% of these children.


CONCLUSIONS
180 degrees full-sclera resection can be recommended as an effective method of treatment of ROP stage 4b in selected patients who meet the inclusion criteria.
Prost
M E
ME
Kliniki Okulistyki, Instytutu Pomnik-Centrum Zdrowia Dziecka w Warszawie.
D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011183:Postoperative Complications / Q000175:diagnosis; D011379:Prognosis; D012163:Retinal Detachment / Q000175:diagnosis; D012178:Retinopathy of Prematurity / Q000175:diagnosis / Q000601:surgery*; D012590:Sclera / Q000601:surgery*; D012720:Severity of Illness Index; D014792:Visual Acuity
Zastosowanie resekcji twardówki w leczeniu okresu 4b retinopatii wcześniaków.