title: [Surgical treatment of advanced retinopathy of prematurity--last chance for vision. Report 2. Analysis of functional results].
abstract: Functional results of staged surgical treatment of advanced retinopathy of prematurity (ROP) are analyzed between 2005 and 2010 in ophthalmologic department of city children's hospital ( St. Petersburg). A total of 154 children (303 eyes) were operated. The assessment of visual functions was performed using proposed original method. Subject vision was achieved in 65% of 20 eyes (6,6%) with 4B stage ROP. Fair anatomic results were achieved in 131 eyes of children with 5 stage ROP (283 eyes), light perception was preserved in 52 eyes (39,7%), capability to distinguish large objects appeared in 40 eyes (30,5%) and subject vision developed in 39 eyes (29,8%). Correlation between visual functions and environmental conditions was found, in particular presence or absence of long-term period of training in color and individual objects distinguishing. In a group of children training resulted in achievement of fair functions (subject vision, capability to distinguish large objects) in 81,2% of patients, where as in a group without training the same capabilities developed in 31,8% of cases only. Functional outcomes were also found to depend on CNS condition and time of surgery.
authors.forename: A V
authors.initials: AV
authors.lastname: Baranov
authors.forename: R L
authors.initials: RL
authors.lastname: Troianovskiĭ
mesh_terms: D001724:Birth Weight; D002675:Child, Preschool; D018450:Disease Progression; D004777:Environment; D005260:Female; D005865:Gestational Age; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D010353:Patient Education as Topic; D011379:Prognosis; D012163:Retinal Detachment / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D012178:Retinopathy of Prematurity / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D012591:Scleral Buckling / Q000009:adverse effects / Q000379:methods; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014787:Vision Tests / Q000379:methods*; D014785:Vision, Ocular; D014821:Vitrectomy / Q000009:adverse effects / Q000379:methods