One-year clinical outcome after laser treatment for retinopathy of prematurity at a tertiary center in Turkey.
The purpose of the study is to evaluate the clinical outcome of laser photocoagulation (LPC) in the treatment of retinopathy of prematurity (ROP) at a referral hospital in Turkey. In this retrospective study, a chart review of infants who underwent LPC for ROP between June 2011 and June 2013 was done. Clinical and demographic characteristics, laser parameters, anatomic, and refractive outcomes were evaluated. Totally 113 infants (202 eyes) were enrolled in the study. Of the 202 eyes, 29 eyes had threshold ROP, 141 eyes had prethreshold ROP, and 32 eyes had aggressive posterior ROP (APROP) at initial interventions. The mean gestational age (GA) was 28.13 ± 1.99 weeks (range between 24 and 33 weeks), the mean birth weight (BW) was 1,147.77 ± 341.77 g (range between 530 and 2,000 g) and the mean postmenstrual age (PMA) at first laser treatment time was 35.79 ± 1.74 weeks (range between 33 and 39 weeks). The mean number of laser spots (NLS) applied for each eye was 1,358.05 ± 369.91. Eyes with APROP had higher number of NLS than eyes with threshold ROP and prethreshold ROP (P < 0.01). Anatomic outcome was favorable for 171 eyes (84.7 %) at the end of the 1-year follow-up. Refractive data were available for 56 infants (100 eyes). The mean refractive error was 0.00 ± 2.48D SE. The incidence of high myopia (>5D) and strabismus was 2 and 14.3 %, respectively. Laser photocoagulation is an effective therapy for ROP. Early and appropriate laser treatment improves the clinical outcome of the disease.
Department of Ophthalmology, ROP Screening, Treatment and Training Center, Zeynep Kamil Maternity and Children's Disease Education and Research Hospital, Burhanettin Üstünel Cad. No: 10, Üsküdar, 34668, Istanbul, Turkey. drmurat301@yahoo.com.tr.
Murat
M
Gunay
Department of Ophthalmology, ROP Screening, Treatment and Training Center, Zeynep Kamil Maternity and Children's Disease Education and Research Hospital, Burhanettin Üstünel Cad. No: 10, Üsküdar, 34668, Istanbul, Turkey.
Gokhan
G
Celik
Department of Neonatology, Zeynep Kamil Maternity and Children's Disease Education and Research Hospital, Istanbul, Turkey.
Fahri
F
Ovali
Department of Ophthalmology, Cerrahpasa Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Huseyin
H
Yetik
Department of Pediatrics, Zeynep Kamil Maternity and Children's Disease Education and Research Hospital, Istanbul, Turkey.
Alev
A
Aktas
Department of Ophthalmology, Umraniye Education and Research Hospital, Istanbul, Turkey.
Betul Onal
BO
Gunay
D001724:Birth Weight; D005260:Female; D005865:Gestational Age; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D017075:Laser Coagulation / Q000379:methods*; D008297:Male; D012160:Retina / Q000473:pathology* / Q000601:surgery; D012178:Retinopathy of Prematurity / Q000453:epidemiology / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D062606:Tertiary Care Centers; D016896:Treatment Outcome; D014421:Turkey / Q000453:epidemiology; D014792:Visual Acuity
Laser photocoagulation; Outcome; Retinopathy of prematurity