Refractive outcomes following unilateral laser treatment for type 1 retinopathy of prematurity

PURPOSE To compare refractive outcomes of infants with type 1 retinopathy of prematurity (ROP) in whom one eye was treated with laser and the fellow eye spontaneously regressed.METHODS The medical records of infants who underwent IVB and laser treatment for type 1 ROP or aggressive posterior-ROP between January 2016 and December 2019 were retrospectively evaluated. Infants in whom ROP in the fellow eye regressed and for whom refractive data was available in the record were included in the study. Refractive outcomes of unilaterally treated infants were assessed.RESULTS A total of 283 cases were reviewed: of these, 17 experienced spontaneous regression in the fellow eye and were included. All unilateral laser-treated eyes had type 1 ROP in zone II. The median age at treatment was 40 weeks' postmenstrual age (IQR, 39-41). The mean spherical equivalent at the last examination was 2.1 +/- 2.5 D in treated eyes and 2.50 +/- 1.4 D in nontreated eyes, at a mean age of 25.0 +/- 9.1 months (P = 0.378). Of the 7 infants who underwent fluorescein angiography, the median of the ratio of the length of the temporal retinal vascularization to the optic disk-to-fovea distance was 3.71 (3.22-3.79) in treated and 4.28 (3.90-4.49) in untreated eyes, at a median age of 18 months (P = 0.018).CONCLUSIONS In laser-treated eyes with peripheral zone II ROP and with advanced treatment age, we did not observe a significant myopic change compared to the fellow untreated eye. ( J AAPOS 2022;26:245.e1-6)