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. 2019 Jun;67(6):896-902.
doi: 10.4103/ijo.IJO_706_18.

Surgical outcomes of vitreoretinal surgery for rhegmatogenous retinal detachment in eyes with regressed retinopathy of prematurity

Parveen Sen  1 , Ashutosh Agarwal  1 , Pramod Bhende  1 , Lingam Gopal  1
Affiliations

Surgical outcomes of vitreoretinal surgery for rhegmatogenous retinal detachment in eyes with regressed retinopathy of prematurity

Parveen Sen et al. Indian J Ophthalmol. 2019 Jun.

Abstract

Purpose: To report the anatomical and functional outcomes of vitreoretinal surgery in eyes with "regressed ROP" presenting with rhegmatogenous retinal detachment (RRD).

Methods: In this retrospective interventional case series, twenty-two eyes (of 22 patients) with regressed ROP, who underwent surgery for RD. Primary outcome measures were final anatomical and visual outcome for scleral buckling and pars plana vitrectomy (PPV). Visual outcomes were categorized into three groups: improved, remained stable, and deteriorated. Univariate binary logistic regression analysis was used to determine the risk factors for RD.

Results: Of 22 eyes in the study, overall anatomic success was achieved in 16 of 22 eyes (72.7%). The macula was attached in 17 of 22 eyes (77.3%) at final visit. In the scleral buckle (SB) group, overall anatomical success was achieved in six of seven eyes (85.7%). Overall, in the PPV group, anatomical success was seen in 10 of 15 eyes (66.7%) at final visit. At final follow-up, significant improvement in best-corrected visual acuity from baseline was seen in 11 cases (50%, P = 0.02), stable in 5 cases (22.7%), and significant visual deterioration was seen in 6 cases (27.3%, P = 0.02). The total mean follow-up duration of the patients was 45.5 months (range: 2.1 months to 11.2 years).

Conclusion: Early recognition and surgical intervention in such cases can lead to a high rate of anatomical success and can prevent the development of profound visual impairment in some patients.

Keywords: Pars planavitrectomy; ROP; ROP sequelae; regressed ROP; retinal detachment; scleral buckle.

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Conflict of interest statement

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Figures

Figure 1
Figure 1
(a) Fundus photograph of the left eye of a 10-year-old showing rhegmatogenous retinal detachment. (b) Postoperative photograph of the same eye showing well-attached retina after pars plana vitrectomy and silicone oil injection
Figure 2
Figure 2
(a) This child underwent scleral buckling followed by pars plana vitrectomy with silicone oil. Fundus photograph showing attached retina 1 year after silicone oil removal. (b) Other eye of the same patient after laser photocoagulation to the peripheral lattice-like lesions
Figure 3
Figure 3
A 12-year-old presented with left eye preoperative BCVA 3/60 and RD of regressed ROP. The child underwent PPV with silicone oil insertion in the left eye. (a) Right eye fundus photograph showing ROP sequelae. (b) Left eye fundus photograph showing an attached retina post silicone oil removal. The child had a postoperative BCVA 6/36
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