Retinal Detachment With Macular Holes in Infants With Retinopathy of Prematurity

OBJECTIVE To describe retinal detachment with macular holes in infants with retinopathy of prematurity and the methods of surgical repair with their outcomes. METHODS A retrospective review of 4 cases of retinopathy of prematurity and 1 case of retinopathy in a full-term infant that resembled retino...

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Veröffentlicht in:Archives of ophthalmology (1960) 2005-01, Vol.123 (1), p.54-57
Hauptverfasser: Ahmad, Omar F, Hirose, Tatsuo
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container_title Archives of ophthalmology (1960)
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creator Ahmad, Omar F
Hirose, Tatsuo
description OBJECTIVE To describe retinal detachment with macular holes in infants with retinopathy of prematurity and the methods of surgical repair with their outcomes. METHODS A retrospective review of 4 cases of retinopathy of prematurity and 1 case of retinopathy in a full-term infant that resembled retinopathy of prematurity, in which a macular hole and associated retinal detachment developed and surgical repair was attempted. RESULTS The average gestational age of the 4 infants with retinopathy of prematurity was 26 weeks. All 5 patients had a history of vitreoretinal surgery prior to discovery of the macular hole. All 4 who underwent further surgical correction have partially or completely attached retinas and ambulatory vision. CONCLUSIONS Vitrectomy combined with fluid-air exchange failed to close a macular hole associated with retinal detachment in infants with retinopathy of prematurity. Athermal scleral buckling of the macula can close macular holes and reattach the retina. Scleral buckling appears to be the method of choice for repair.Arch Ophthalmol. 2005;123:54-57-->
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METHODS A retrospective review of 4 cases of retinopathy of prematurity and 1 case of retinopathy in a full-term infant that resembled retinopathy of prematurity, in which a macular hole and associated retinal detachment developed and surgical repair was attempted. RESULTS The average gestational age of the 4 infants with retinopathy of prematurity was 26 weeks. All 5 patients had a history of vitreoretinal surgery prior to discovery of the macular hole. All 4 who underwent further surgical correction have partially or completely attached retinas and ambulatory vision. CONCLUSIONS Vitrectomy combined with fluid-air exchange failed to close a macular hole associated with retinal detachment in infants with retinopathy of prematurity. Athermal scleral buckling of the macula can close macular holes and reattach the retina. 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METHODS A retrospective review of 4 cases of retinopathy of prematurity and 1 case of retinopathy in a full-term infant that resembled retinopathy of prematurity, in which a macular hole and associated retinal detachment developed and surgical repair was attempted. RESULTS The average gestational age of the 4 infants with retinopathy of prematurity was 26 weeks. All 5 patients had a history of vitreoretinal surgery prior to discovery of the macular hole. All 4 who underwent further surgical correction have partially or completely attached retinas and ambulatory vision. CONCLUSIONS Vitrectomy combined with fluid-air exchange failed to close a macular hole associated with retinal detachment in infants with retinopathy of prematurity. Athermal scleral buckling of the macula can close macular holes and reattach the retina. 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Hirose, Tatsuo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a374t-b2dc42c5b98913cd19290e4c6be413f4092c4b220771942230a09fbbc6bfff53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Babies</topic><topic>Biological and medical sciences</topic><topic>Child, Preschool</topic><topic>Clinical trials</topic><topic>Cryotherapy</topic><topic>Female</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Laser Therapy</topic><topic>Male</topic><topic>Medical disorders</topic><topic>Medical procedures</topic><topic>Medical sciences</topic><topic>Ophthalmology</topic><topic>Retina</topic><topic>Retinal Detachment - etiology</topic><topic>Retinal Detachment - surgery</topic><topic>Retinal Perforations - etiology</topic><topic>Retinal Perforations - surgery</topic><topic>Retinopathies</topic><topic>Retinopathy of Prematurity - complications</topic><topic>Retinopathy of Prematurity - surgery</topic><topic>Retrospective Studies</topic><topic>Scleral Buckling</topic><topic>Treatment Outcome</topic><topic>Visual Acuity</topic><topic>Vitrectomy</topic><toplevel>online_resources</toplevel><creatorcontrib>Ahmad, Omar F</creatorcontrib><creatorcontrib>Hirose, Tatsuo</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Archives of ophthalmology (1960)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ahmad, Omar F</au><au>Hirose, Tatsuo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Retinal Detachment With Macular Holes in Infants With Retinopathy of Prematurity</atitle><jtitle>Archives of ophthalmology (1960)</jtitle><addtitle>Arch Ophthalmol</addtitle><date>2005-01-01</date><risdate>2005</risdate><volume>123</volume><issue>1</issue><spage>54</spage><epage>57</epage><pages>54-57</pages><issn>0003-9950</issn><issn>2168-6165</issn><eissn>1538-3601</eissn><eissn>2168-6173</eissn><abstract>OBJECTIVE To describe retinal detachment with macular holes in infants with retinopathy of prematurity and the methods of surgical repair with their outcomes. METHODS A retrospective review of 4 cases of retinopathy of prematurity and 1 case of retinopathy in a full-term infant that resembled retinopathy of prematurity, in which a macular hole and associated retinal detachment developed and surgical repair was attempted. RESULTS The average gestational age of the 4 infants with retinopathy of prematurity was 26 weeks. All 5 patients had a history of vitreoretinal surgery prior to discovery of the macular hole. All 4 who underwent further surgical correction have partially or completely attached retinas and ambulatory vision. CONCLUSIONS Vitrectomy combined with fluid-air exchange failed to close a macular hole associated with retinal detachment in infants with retinopathy of prematurity. Athermal scleral buckling of the macula can close macular holes and reattach the retina. Scleral buckling appears to be the method of choice for repair.Arch Ophthalmol. 2005;123:54-57--&gt;</abstract><cop>Chicago, IL</cop><pub>American Medical Association</pub><pmid>15642812</pmid><doi>10.1001/archopht.123.1.54</doi><tpages>4</tpages></addata></record>
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subjects Babies
Biological and medical sciences
Child, Preschool
Clinical trials
Cryotherapy
Female
Gestational Age
Humans
Infant
Infant, Newborn
Laser Therapy
Male
Medical disorders
Medical procedures
Medical sciences
Ophthalmology
Retina
Retinal Detachment - etiology
Retinal Detachment - surgery
Retinal Perforations - etiology
Retinal Perforations - surgery
Retinopathies
Retinopathy of Prematurity - complications
Retinopathy of Prematurity - surgery
Retrospective Studies
Scleral Buckling
Treatment Outcome
Visual Acuity
Vitrectomy
title Retinal Detachment With Macular Holes in Infants With Retinopathy of Prematurity
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