Lens-sparing vitrectomy for stage 4 retinopathy of prematurity.
OBJECTIVE
To investigate the anatomic results of lens-sparing vitrectomy for tractional stage 4 retinopathy of prematurity (ROP).


METHODS
Retrospective, noncomparative consecutive case series.


METHODS
Thirty-seven eyes (24 patients) with tractional stage 4 ROP.


METHODS
Lens-sparing vitrectomy.


METHODS
Anatomic status of the retina.


RESULTS
Twenty-five eyes had stage 4A ROP, and 12 eyes had stage 4B ROP. With a median follow-up of 13 months (range, 6-27), 32 of 37 eyes (86%) had complete reattachment of the retina. Among eyes with 4A ROP, 21 of 25 eyes (84%) had complete retinal reattachment. Among eyes with 4B ROP, 11 of 12 eyes (92%) had complete retinal reattachment. At last follow-up, 29 of 37 eyes (78%) were able to fix and follow.


CONCLUSIONS
These results indicate that lens-sparing vitrectomy is effective for achieving retinal reattachment in tractional stage 4 ROP. This article contains additional online-only material available at .
Hubbard
G Baker
GB
The Emory Eye Center, Emory University School of Medicine, Atlanta, Georgia 30322, USA. baker_hubbard@emoryhealthcare.org
Cherwick
D Hunter
DH
Burian
Gabriela
G
D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D012163:Retinal Detachment / Q000601:surgery*; D012178:Retinopathy of Prematurity / Q000145:classification / Q000601:surgery*; D012189:Retrospective Studies; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*