Lens-sparing vitreous surgery for tractional stage 4A retinopathy of prematurity retinal detachments.
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.
Capone
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Associated Retinal Consultants, William Beaumont Hospital, Royal Oak, Michigan, USA.
Trese
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MT
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*