Vitrectomy in stage 5 ROP – surgical and functional results of 1000 vitrectomies Original research study
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Published:
Jun 23, 2021
Keywords:
stage 5 retinopathy of prematurity, vitrectomy, surgical outcomes, functional results
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Abstract
Despite improvements in neonatal care, retinopathy of prematurity is still leading cause of blindness in the world. The most treatment problems pose stage 4 and 5 of this disease. Performing vitrectomy in stage 5 is a subject of controversy among ophthalmologists due to unsatisfactory functional results after the surgery. Therefore, our aim was to present the results of 1000 vitrectomies performed by the author in years 1994–2019 in 1018 eyes of 692 children with stage 5 retinopathy of prematurity. In these children lens sparing vitrectomies and lensectomy-vitrectomy with limbal approach were performed. The results were compared with visual function of 127 untreated children with stage 5 retinopathy of prematurity. Visual acuity of treated patients ranged from 0.05 to no light perception in stage 5 and from no light perception to finger counting in the untreated group. Comparing the functional results of treated and untreated patients, it can be concluded that vitrectomy gives a better chance of gaining useful vision.
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1.
Prost ME. Vitrectomy in stage 5 ROP – surgical and functional results of 1000 vitrectomies. Ophthatherapy [Internet]. 2021Jun.23 [cited 2024Nov.22];8(2):108-13. Available from: https://journalsmededu.pl/index.php/ophthatherapy/article/view/1328
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Surgery and laser therapy
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright: © Medical Education sp. z o.o. License allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material, provided the original work is properly cited and states its license.
Address reprint requests to: Medical Education, Marcin Kuźma (marcin.kuzma@mededu.pl)
References
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2. Steinkuller PG, Du L, Gilbert C et al. Childhood blindness. J AAPOS. 1999; 3: 26-32.
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4. Lakhanpal RR, Sun RL, Albini TA et al. Anatomical success rate after primary three-port lens-sparing vitrectomy in stage 5 retinopathy of prematurity. Retina. 2006; 26: 724-8.
5. Early Treatment for Retinopathy of Prematurity Cooperative Group. Revised indications for the treatment of retinopathy of prematurity: Results of the early treatment for retinopathy of prematurity randomized trial. Arch Ophthalmol. 2003; 121: 1684-94.
6. Capone A Jr, Trese MT. Lens-sparing vitreous surgery for tractional stage 4A retinopathy of prematurity retinal detachments. Ophthalmology. 2001; 108: 2068-70.
7. Hubbard GB, Cherwick DH, Burian G. Lens-sparing vitrectomy for stage 4 retinopathy of prematurity. Ophthalmology. 2004; 111: 2274-7.
8. Moshfeghi AA, Banach MJ, Salam GA et al. Lens-sparing vitrectomy for progressive tractional retinal detachments associated with stage 4A retinopathy of prematurity. Arch Ophthalmol. 2004; 122: 1816-8.
9. Lakhanpal RR, Sun RL, Albini TA et al. Anatomic success rate after 3 – port lens-sparing vitrectomy in stage 4A or 4B retinopathy of prematurity. Ophthalmology. 2005; 112: 1569-73.
10. Prenner JL, Capone A Jr, Trese MT. Visual outcomes after lens-sparing vitrectomy for stage 4A retinopathy of prematurity. Ophthalmology. 2004; 111: 2271-3.
11. Lakhanpal RR, Sun RL, Albini TA et al. Visual outcomes after 3 – port lens-sparing vitrectomy in stage 4 retinopathy of prematurity. Arch Ophthalmol. 2006; 124: 675-9.
12. Karacorlu M, Hocaoglu M, Sayman Muslubas I et al. Long-term functional results following vitrectomy for advanced retinopathy of prematurity. Br J Ophthalmol. 2017; 101: 730-4.
13. Kusaka S. Current concepts and techniques of vitrectomy for retinopathy of prematurity. Taiwan J Ophthalmol. 2018; 8: 216-21.
14. Quinn GE, Dobson V, Barr CC et al. Visual acuity of eyes after vitrectomy for retinopathy of prematurity. Follow-up at 51/2 years. Ophthalmology. 1996; 103: 595-600.
15. Trese MT, Droste PJ. Long-term postoperative results of a consecutive series of stages 4 and 5 retinopathy of prematurity. Ophthalmology. 1998; 105: 992-7.
16. Scott IU, Flynn HW Jr, Azen SP et al. Silicone oil in the repair of pediatric retinal detachment. Prospective, observational, multicenter study. Ophthalmology. 1999; 106: 1399-407.
17. Kono T, Oshima K, Fuchino Y. Surgical results and visual outcomes of vitreous surgery for the advanced stages of retinopathy of prematurity. Jpn J Ophthalmol. 2000; 44: 661-7.
18. Hartnett ME, Gilbert MM, Hirose T et al. Glaucoma as a cause of poor vision in severe retinopathy of prematurity. Graefe’s Arch Clin Exp Ophthalmol. 1993; 231: 433-8.
19. Cherry TA, Lambert SR, Capone A Jr. Electroretinographic findings in stage 5 retinopathy of prematurity after retinal reattachment. Retina. 1995; 15: 21-4.
20. Lambert SR, Capone A Jr. Visual acuity of eyes after vitrectomy for ROP. Ophthalmology. 1996; 103: 1331-2.
21. Hirose T, Katsumi O, Mehta MC et al. Vision in stage 5 retinopathy of prematurity after retinal reattachment by open-sky vitrectomy. Arch Ophthalmol. 1993; 111: 345-9.
22. Mintz-Hittner HA, O’ Malley RE, Kretzer FL. Long-term form identification vision after early, closed lensectomy vitrectomy for stage 5 retinopathy of prematurity. Ophthalmology. 1997; 104: 454-9.
23. Choi MY, Yu YS. Anatomical and visual results of vitreous surgery for advanced retinopathy of prematurity. Korean J Ophthalmol. 1998; 12: 60-7.
24. Yu YS, Kim S-J, Kim SJ et al. Lens-sparing Vitrectomy for Stage 4 and Stage 5 Retinopathy of Prematurity. Korean J Ophthalmol. 2006; 20: 113-7.
25. Prost ME. Results of treatment of retinal detachment in active stage 5 retinopathy of prematurity (in polish). Klin Oczna. 2003; 105: 387-91.
26. Prost M. Surgical treatment of retinal detachment in active stage 4 and 5 retinopathy of prematurity. In: Reibaldi A, Di Pietro M, Scuderi A et al (ed). Progress in Retinopathy of Prematurity. Kugler, Amsterdam/New York 1997: 133-7.
27. Treister G, Machemer R. Results of vitrectomy for rare proliferative and hemorrhagic diseases. Am J Ophthalmol. 1977; 84: 394-412.
28. Capone A Jr, Trese MT. Stage 5 retinopathy of prematurity: then and now. Retina. 2006; 26: 721-3.
29. Cusick M, Charles MK, Agrón E et al. Anatomical and visual results of vitreoretinal surgery for stage 5 retinopathy of prematurity. Retina. 2006; 26: 729-34.
30. Sen P, Bhende P, Sharma T et al. Surgical outcomes of microincision vitrectomy surgery in eyes with retinal detachment secondary to retinopathy of prematurity in Indian population. Indian J Ophthalmol. 2019; 67: 889-95.
31. Sen P, Jain S, Bhende P. Stage 5 retinopathy of prematurity: An update. Taiwan J Ophthalmol. 2018; 8: 205-15.
32. Narang S, Trese MT, Capone A. Vitreoretinal surgery for ROP. In: Azad R, Trese M (ed). Textbook of retinopathy of prematurity. Wolters Kluwer Health, New Delhi 2011.
33. Fuchino Y, Hayashi H, Kono T et al. Long-term follow up of visual acuity in eyes with stage 5 retinopathy of prematurity after closed vitrectomy. Am J Ophthalmol. 1995; 120: 308-16.
34. Prost ME, Oleszczynska-Prost E. Functional results in children with retinopathy of prematurity stage 4 and 5 (in polish). Klin Oczna. 2000; 102: 99-101.
2. Steinkuller PG, Du L, Gilbert C et al. Childhood blindness. J AAPOS. 1999; 3: 26-32.
3. Gilbert C. Retinopathy of prematurity: A global perspective of the epidemics, population of babies at risk and implications for control. Early Hum Dev. 2008; 84: 77-82.
4. Lakhanpal RR, Sun RL, Albini TA et al. Anatomical success rate after primary three-port lens-sparing vitrectomy in stage 5 retinopathy of prematurity. Retina. 2006; 26: 724-8.
5. Early Treatment for Retinopathy of Prematurity Cooperative Group. Revised indications for the treatment of retinopathy of prematurity: Results of the early treatment for retinopathy of prematurity randomized trial. Arch Ophthalmol. 2003; 121: 1684-94.
6. Capone A Jr, Trese MT. Lens-sparing vitreous surgery for tractional stage 4A retinopathy of prematurity retinal detachments. Ophthalmology. 2001; 108: 2068-70.
7. Hubbard GB, Cherwick DH, Burian G. Lens-sparing vitrectomy for stage 4 retinopathy of prematurity. Ophthalmology. 2004; 111: 2274-7.
8. Moshfeghi AA, Banach MJ, Salam GA et al. Lens-sparing vitrectomy for progressive tractional retinal detachments associated with stage 4A retinopathy of prematurity. Arch Ophthalmol. 2004; 122: 1816-8.
9. Lakhanpal RR, Sun RL, Albini TA et al. Anatomic success rate after 3 – port lens-sparing vitrectomy in stage 4A or 4B retinopathy of prematurity. Ophthalmology. 2005; 112: 1569-73.
10. Prenner JL, Capone A Jr, Trese MT. Visual outcomes after lens-sparing vitrectomy for stage 4A retinopathy of prematurity. Ophthalmology. 2004; 111: 2271-3.
11. Lakhanpal RR, Sun RL, Albini TA et al. Visual outcomes after 3 – port lens-sparing vitrectomy in stage 4 retinopathy of prematurity. Arch Ophthalmol. 2006; 124: 675-9.
12. Karacorlu M, Hocaoglu M, Sayman Muslubas I et al. Long-term functional results following vitrectomy for advanced retinopathy of prematurity. Br J Ophthalmol. 2017; 101: 730-4.
13. Kusaka S. Current concepts and techniques of vitrectomy for retinopathy of prematurity. Taiwan J Ophthalmol. 2018; 8: 216-21.
14. Quinn GE, Dobson V, Barr CC et al. Visual acuity of eyes after vitrectomy for retinopathy of prematurity. Follow-up at 51/2 years. Ophthalmology. 1996; 103: 595-600.
15. Trese MT, Droste PJ. Long-term postoperative results of a consecutive series of stages 4 and 5 retinopathy of prematurity. Ophthalmology. 1998; 105: 992-7.
16. Scott IU, Flynn HW Jr, Azen SP et al. Silicone oil in the repair of pediatric retinal detachment. Prospective, observational, multicenter study. Ophthalmology. 1999; 106: 1399-407.
17. Kono T, Oshima K, Fuchino Y. Surgical results and visual outcomes of vitreous surgery for the advanced stages of retinopathy of prematurity. Jpn J Ophthalmol. 2000; 44: 661-7.
18. Hartnett ME, Gilbert MM, Hirose T et al. Glaucoma as a cause of poor vision in severe retinopathy of prematurity. Graefe’s Arch Clin Exp Ophthalmol. 1993; 231: 433-8.
19. Cherry TA, Lambert SR, Capone A Jr. Electroretinographic findings in stage 5 retinopathy of prematurity after retinal reattachment. Retina. 1995; 15: 21-4.
20. Lambert SR, Capone A Jr. Visual acuity of eyes after vitrectomy for ROP. Ophthalmology. 1996; 103: 1331-2.
21. Hirose T, Katsumi O, Mehta MC et al. Vision in stage 5 retinopathy of prematurity after retinal reattachment by open-sky vitrectomy. Arch Ophthalmol. 1993; 111: 345-9.
22. Mintz-Hittner HA, O’ Malley RE, Kretzer FL. Long-term form identification vision after early, closed lensectomy vitrectomy for stage 5 retinopathy of prematurity. Ophthalmology. 1997; 104: 454-9.
23. Choi MY, Yu YS. Anatomical and visual results of vitreous surgery for advanced retinopathy of prematurity. Korean J Ophthalmol. 1998; 12: 60-7.
24. Yu YS, Kim S-J, Kim SJ et al. Lens-sparing Vitrectomy for Stage 4 and Stage 5 Retinopathy of Prematurity. Korean J Ophthalmol. 2006; 20: 113-7.
25. Prost ME. Results of treatment of retinal detachment in active stage 5 retinopathy of prematurity (in polish). Klin Oczna. 2003; 105: 387-91.
26. Prost M. Surgical treatment of retinal detachment in active stage 4 and 5 retinopathy of prematurity. In: Reibaldi A, Di Pietro M, Scuderi A et al (ed). Progress in Retinopathy of Prematurity. Kugler, Amsterdam/New York 1997: 133-7.
27. Treister G, Machemer R. Results of vitrectomy for rare proliferative and hemorrhagic diseases. Am J Ophthalmol. 1977; 84: 394-412.
28. Capone A Jr, Trese MT. Stage 5 retinopathy of prematurity: then and now. Retina. 2006; 26: 721-3.
29. Cusick M, Charles MK, Agrón E et al. Anatomical and visual results of vitreoretinal surgery for stage 5 retinopathy of prematurity. Retina. 2006; 26: 729-34.
30. Sen P, Bhende P, Sharma T et al. Surgical outcomes of microincision vitrectomy surgery in eyes with retinal detachment secondary to retinopathy of prematurity in Indian population. Indian J Ophthalmol. 2019; 67: 889-95.
31. Sen P, Jain S, Bhende P. Stage 5 retinopathy of prematurity: An update. Taiwan J Ophthalmol. 2018; 8: 205-15.
32. Narang S, Trese MT, Capone A. Vitreoretinal surgery for ROP. In: Azad R, Trese M (ed). Textbook of retinopathy of prematurity. Wolters Kluwer Health, New Delhi 2011.
33. Fuchino Y, Hayashi H, Kono T et al. Long-term follow up of visual acuity in eyes with stage 5 retinopathy of prematurity after closed vitrectomy. Am J Ophthalmol. 1995; 120: 308-16.
34. Prost ME, Oleszczynska-Prost E. Functional results in children with retinopathy of prematurity stage 4 and 5 (in polish). Klin Oczna. 2000; 102: 99-101.