title: Lens-sparing vitreous surgery for tractional stage 4A retinopathy of prematurity retinal detachments.
abstract: OBJECTIVE
  To assess the efficacy of lens-sparing vitrectomy in tractional 4A retinopathy of prematurity (ROP) retinal detachments in reducing progression to stage 4B or 5 ROP.
  
  
  METHODS
  Retrospective, noncomparative consecutive case series.
  
  
  METHODS
  Forty eyes (31 patients) with stage 4A ROP at 38 to 42 weeks post-conceptional age.
  
  
  METHODS
  Lens-sparing vitrectomy.
  
  
  METHODS
  Retinal attachment status and presence/absence of fixation behavior.
  
  
  RESULTS
  The range of follow-up was 6 to 22 months (mean, 12 months). Ninety percent (36 of 40) of eyes showed retinal reattachment and fixation behavior at their last follow-up visit.
  
  
  CONCLUSIONS
  These results suggest that vitreous surgery can interrupt progression of ROP from stage 4A to stages 4B or 5.
authors.affiliation: Associated Retinal Consultants, William Beaumont Hospital, Royal Oak, Michigan, USA.
authors.forename: A
authors.initials: A
authors.lastname: Capone
authors.forename: M T
authors.initials: MT
authors.lastname: Trese
mesh_terms: D005260:Female; D005403:Fixation, Ocular; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D012178:Retinopathy of Prematurity / Q000145:classification / Q000150:complications / Q000601:surgery*; D016896:Treatment Outcome; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*