Exudative retinal detachment following photocoagulation in older premature infants for retinopathy of prematurity: Description and management

Darius M. Moshfeghi, Ruwan A. Silva, Audina Berrocal

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Purpose: To describe exudative retinal detachment following laser photocoagulation after 40 weeks of postmenstrual age (PMA) for retinopathy of prematurity in premature infants, its medical management, and outcomes. Methods: Two pediatric vitreoretinal surgeons at 2 different quaternary care institutions retrospectively identified children who received laser photocoagulation after 40 weeks of PMA and subsequently developed exudative detachment. Hospital course, management, and outcomes were identified. Results: Three infants were identified that developed exudative retinal detachments following laser photocoagulation for retinopathy of prematurity after 40 weeks of PMA. The average gestational age was 25 weeks with an average birth weight of 650 g. All babies were Zone II at initial examination and developed Stage 3 with pre-plus or plus disease after 40 weeks of PMA (average 42 weeks of PMA). Therapy consisted of topical cyclogyl (0.5%) and topical prednisolone acetate (1%) to the affected eyes and intravenous dexamethasone in all cases. The exudative retinal detachments resolved by 50 weeks of PMA in all infants. Hard exudates following resolution were found in all eyes. Two eyes demonstrated temporal macular dragging. Conclusion: Premature infants who require laser photocoagulation for retinopathy of prematurity at >40 weeks of PMA may be predisposed to develop exudative retinal detachments. In the absence of identifiable traction, systemic corticosteroid use can be considered to achieve favorable anatomic outcomes.

Original languageEnglish
Pages (from-to)83-86
Number of pages4
JournalRetina
Volume34
Issue number1
DOIs
StatePublished - Jan 1 2014

Fingerprint

Retinopathy of Prematurity
Light Coagulation
Retinal Detachment
Premature Infants
Lasers
Cyclopentolate
Traction
Exudates and Transudates
Birth Weight
Dexamethasone
Gestational Age
Adrenal Cortex Hormones
Pediatrics
Therapeutics

Keywords

  • 40 weeks of postmenstrual age
  • Dexamethasone
  • Exudative retinal detachment
  • Laser photocoagulation
  • Retinopathy of prematurity

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Exudative retinal detachment following photocoagulation in older premature infants for retinopathy of prematurity : Description and management. / Moshfeghi, Darius M.; Silva, Ruwan A.; Berrocal, Audina.

In: Retina, Vol. 34, No. 1, 01.01.2014, p. 83-86.

Research output: Contribution to journalArticle

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