[Results of treatment of retinal detachment in active stage-5 retinopathy of prematurity].
OBJECTIVE
To evaluate the surgical and functional results of encircling scleral buckling in treatment of active stage 5 retinopathy of prematurity.


METHODS
68 premature infants (121 eyes) with active stage 5 ROP operated with the use of the modified encircling buckling technique. The surgical and functional results were compared with the results observed in 91 unoperated children with active stage 5 ROP.


RESULTS
In the operated group total retinal reattachment was observed in 52% and partial reattachment in 24.5% of premature infants. The surgery failed to reattach the retina in 23.5%. Visual acuity was: no light perception in 56.1%, light perception to 0.02 in 24.5% and 0.02 to 0.2 in 19.4% of children. In unoperated group spontaneous reattachment was observed in 6% of infants and visual acuity was: no light perception in 76%, light perception in 20% and finger counting in 4% of them.


CONCLUSIONS
The obtained results indicate, that modified encircling buckling can be an effective treatment in reattaching the retina in stage 5 ROP although useful vision can be obtained in only 20% of operated children.
Prost
Marek E
ME
Centrum Okulistyki Dzieciecej w Warszawie.
D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012163:Retinal Detachment / Q000473:pathology* / Q000601:surgery*; D012178:Retinopathy of Prematurity / Q000473:pathology* / Q000601:surgery*; D012591:Scleral Buckling / Q000379:methods; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014792:Visual Acuity