Surgical management of retinopathy of prematurity.

Abstract:

PURPOSE OF REVIEW:The surgical management of retinopathy of prematurity continues to employ a paradigm of peripheral laser followed by vitrectomy for patients who develop retinal detachment. This review addresses significant advances that have been made in our understanding of the indications, timing, techniques, and outcomes of these interventions. RECENT FINDINGS:The indications for laser are highly dependent on the diagnosis of plus disease. Recognition of plus disease is variable and subjective. Efforts are underway to develop more objective measures of plus using image analysis software. Intravitreal injection of bevacizumab is emerging as an adjunct to laser for aggressive posterior retinopathy of prematurity. Although vitrectomy for retinal detachment is effective in eyes without plus, management of eyes with retinal detachment and persistent plus continues to be a major challenge. Older children with regressed retinopathy of prematurity may suffer from vitreous hemorrhage in the absence of retinal tears, detachments, or active neovascularization. SUMMARY:Our understanding of the best indications, timing, and techniques for the surgical management of retinopathy of prematurity continues to evolve and outcomes have improved in recent years. Areas that generate significant ongoing interest and investigation include the assessment of plus disease and the use of adjuncts for aggressive posterior retinopathy of prematurity.

journal_name

Curr Opin Ophthalmol

authors

Hubbard GB 3rd

doi

10.1097/ICU.0b013e328309f1a5

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

384-90

issue

5

eissn

1040-8738

issn

1531-7021

pii

00055735-200809000-00004

journal_volume

19

pub_type

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