Surgical Management of Lateonset Retinal Detachments Associated with Regressed Retinopathy of Prematurity

Scott R. Sneed, Jose S. Pulido, Christopher F. Blodi, John G. Clarkson, Harry W. Flynn, William F. Mieler

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

The authors report their experience in managing 16 cases of late-onset retinal detachments (RDs) associated with regressed retinopathy of prematurity (ROP). Fourteen (88%) of the 16 eyes were successfully reattached. An initial scleral buckling procedure was successful in 6 of 12 eyes. A pars plana vitrectomy was necessary in a total of eight eyes that either initially presented with proliferative vitreoretinopathy (1 case), posterior retinal breaks (1 case), subretinal fibrosis (1 case), vitreoretinal traction bands (1 case), or had persistent vitreoretinal traction after failed scleral buckling procedures (4 cases). Visual acuity stabilized or improved in 13 of the 14 eyes with successful retinal reattachment. Because these cases often have significant vitreoretinal traction and/or posterior retinal breaks, pars plana vitrectomy in conjunction with scleral buckling may be necessary in order to achieve long-term retinal reattachment.

Original languageEnglish (US)
Pages (from-to)179-183
Number of pages5
JournalOphthalmology
Volume97
Issue number2
DOIs
StatePublished - Jan 1 1990

ASJC Scopus subject areas

  • Ophthalmology

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