OUTCOME OF EYES TREATED FOR RETINOPATHY OF PREMATURITY IN POSTERIOR ZONE I An Eastern India Study

被引:0
|
作者
Padhi, Tapas R. [1 ]
Bhunia, Souvik [1 ]
Shah, Miloni [1 ]
Sahu, Suman [1 ]
Das, Taraprasad [2 ]
Bhusal, Utpal [1 ]
Singh, Aveenash [1 ]
Samantaray, Balakrushna [3 ]
Patro, Krishna [3 ]
Devi, Sabita [4 ]
Routray, Dipanweeta [5 ]
Mohamed, Ashik [1 ]
Pradhan, Lingaraj [6 ]
Jalali, Subhadra [2 ]
机构
[1] Anant Bajaj Retina Inst, L V Prasad Eye Inst, Mithu Tulsi Chanrai Campus, Bhubaneswar, India
[2] L V Prasad Eye Inst, Anant Bajaj Retina Inst, Kallam Anji Reddy Campus, Hyderabad, India
[3] SCB Med Coll, Dept Ophthalmol, Cuttack, India
[4] MKCG Med Coll, Dept Ophthalmol, Berhampur, India
[5] Dharanidhar Med Coll Hosp, Dept Community Med, Keonjhar, India
[6] Capital Hosp, Dept Paediat, Bhubaneswar, India
来源
RETINA-THE JOURNAL OF RETINAL AND VITREOUS DISEASES | 2024年 / 44卷 / 06期
关键词
posterior Zone I retinopathy of prematurity (ROP); posterior ROP; outcome; posterior Zone I ROP; INTERNATIONAL CLASSIFICATION; INTRAVITREAL BEVACIZUMAB; LASER; MANAGEMENT; ROP;
D O I
10.1097/IAE.0000000000004067
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Purpose: To analyze the outcomes of eyes treated for retinopathy of prematurity in posterior Zone I. Methods: In a part retrospective (9 years) and part prospective (1 year) interventional study, we analyzed eyes treated for retinopathy of prematurity in posterior Zone I with a minimum follow-up for 6 months. Results: This study included 109 eyes of 56 infants; mean gestational age and birth weights were 29.3 (+/- 2.1) weeks and 1112.5 (+/- 381.9) g, respectively. The treatment included intravitreal anti-vascular endothelial growth factor as the initial treatment modality in 101 eyes (92.6%), either alone (27 eyes) or combined with laser or vitreous surgery (73 eyes). Laser was the initial treatment modality in eight eyes, either alone (n = 3) or in combination with surgery (n = 5). With anti-vascular endothelial growth factor alone, 30.68% (n = 27) eyes responded favorably, and the remaining 69.32% (n = 59) eyes needed retreatment (laser in the majority). At the final follow-up, 89.9% (out of 109) of eyes did well anatomically. Good outcome was significantly linked to no detachment at presentation (P < 0.0001) and the presence of well-defined central vascular trunks (P = 0.001). Conclusion: Treating the eyes before retinal detachment with bevacizumab followed by laser (and surgery, if needed) results in a favorable outcome in babies with posterior Zone I retinopathy of prematurity.
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收藏
页码:1073 / 1082
页数:10
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