Involution of Retinopathy of Prematurity After Laser Treatment: Factors Associated With Development of Retinal Detachment
To identify specific features during the process of involution of retinopathy of prematurity after treatment at threshold that are associated with development of a retinal detachment. Retrospective case series. The evolution of retinal detachments over time was analyzed retrospectively in 262 treate...
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| Veröffentlicht in: | American journal of ophthalmology 2005-08, Vol.140 (2), p.214-222 |
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| container_title | American journal of ophthalmology |
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| creator | Coats, David K. Miller, Aaron M. Hussein, Mohamed A.W. McCreery, Kathryn M. Brady Holz, Eric Paysse, Evelyn A. |
| description | To identify specific features during the process of involution of retinopathy of prematurity after treatment at threshold that are associated with development of a retinal detachment.
Retrospective case series.
The evolution of retinal detachments over time was analyzed retrospectively in 262 treated eyes of 138 infants. Specific features hypothesized to be associated with development of a retinal detachment were analyzed, including vitreous organization defined as
clinically important, active stage 3 disease and active plus disease more than 21 days after treatment, and vitreous hemorrhage defined as clinically important.
A retinal detachment developed in 36 (13.7%) of 262 eyes. Vitreous organization meeting our
clinically important definition was associated with a 31-fold (confidence interval [CI] 5.37–183.63;
P < .0001) and 13-fold (CI 2.97–58.59;
P < .0001) increase in the odds for retinal detachment for right and left eyes, respectively. Vitreous hemorrhage defined as
clinically important was associated with a 38-fold (CI 2.69–551.19;
P = .007) and 15-fold (CI 1.65–144.12;
P = .02) increase in the odds for retinal detachment for right and left eyes, respectively. The timing of retinal detachment relative to vitreous hemorrhage was not determined. Prolonged activity of Stage 3 disease or plus disease more than 21 days after treatment was not associated with development of a retinal detachment.
Clinically important vitreous organization and vitreous hemorrhage were predictive for development of a retinal detachment. Evaluation of preemptive reintervention strategies for eyes at highest risk for developing a retinal detachment may be reasonable. |
| doi_str_mv | 10.1016/j.ajo.2004.12.106 |
| format | Article |
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Retrospective case series.
The evolution of retinal detachments over time was analyzed retrospectively in 262 treated eyes of 138 infants. Specific features hypothesized to be associated with development of a retinal detachment were analyzed, including vitreous organization defined as
clinically important, active stage 3 disease and active plus disease more than 21 days after treatment, and vitreous hemorrhage defined as clinically important.
A retinal detachment developed in 36 (13.7%) of 262 eyes. Vitreous organization meeting our
clinically important definition was associated with a 31-fold (confidence interval [CI] 5.37–183.63;
P < .0001) and 13-fold (CI 2.97–58.59;
P < .0001) increase in the odds for retinal detachment for right and left eyes, respectively. Vitreous hemorrhage defined as
clinically important was associated with a 38-fold (CI 2.69–551.19;
P = .007) and 15-fold (CI 1.65–144.12;
P = .02) increase in the odds for retinal detachment for right and left eyes, respectively. The timing of retinal detachment relative to vitreous hemorrhage was not determined. Prolonged activity of Stage 3 disease or plus disease more than 21 days after treatment was not associated with development of a retinal detachment.
Clinically important vitreous organization and vitreous hemorrhage were predictive for development of a retinal detachment. Evaluation of preemptive reintervention strategies for eyes at highest risk for developing a retinal detachment may be reasonable.</description><identifier>ISSN: 0002-9394</identifier><identifier>EISSN: 1879-1891</identifier><identifier>DOI: 10.1016/j.ajo.2004.12.106</identifier><identifier>PMID: 16086945</identifier><identifier>CODEN: AJOPAA</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Birth weight ; Confidence intervals ; Female ; Gestational Age ; Hemorrhage ; Humans ; Infant, Newborn ; Infant, Very Low Birth Weight ; Laser Coagulation ; Male ; Postoperative Complications ; Premature birth ; Retina ; Retinal Detachment - etiology ; Retinopathy of Prematurity - surgery ; Retrospective Studies ; Risk Factors ; Vitreous Body - pathology ; Vitreous Hemorrhage - complications</subject><ispartof>American journal of ophthalmology, 2005-08, Vol.140 (2), p.214-222</ispartof><rights>2005 Elsevier Inc.</rights><rights>Copyright Elsevier Limited Aug 2005</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c379t-f27ff0171724e0b9d6d0073eda94ce6f92b1c9357fea27585c219219025f86483</citedby><cites>FETCH-LOGICAL-c379t-f27ff0171724e0b9d6d0073eda94ce6f92b1c9357fea27585c219219025f86483</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002939405000048$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16086945$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Coats, David K.</creatorcontrib><creatorcontrib>Miller, Aaron M.</creatorcontrib><creatorcontrib>Hussein, Mohamed A.W.</creatorcontrib><creatorcontrib>McCreery, Kathryn M. Brady</creatorcontrib><creatorcontrib>Holz, Eric</creatorcontrib><creatorcontrib>Paysse, Evelyn A.</creatorcontrib><title>Involution of Retinopathy of Prematurity After Laser Treatment: Factors Associated With Development of Retinal Detachment</title><title>American journal of ophthalmology</title><addtitle>Am J Ophthalmol</addtitle><description>To identify specific features during the process of involution of retinopathy of prematurity after treatment at threshold that are associated with development of a retinal detachment.
Retrospective case series.
The evolution of retinal detachments over time was analyzed retrospectively in 262 treated eyes of 138 infants. Specific features hypothesized to be associated with development of a retinal detachment were analyzed, including vitreous organization defined as
clinically important, active stage 3 disease and active plus disease more than 21 days after treatment, and vitreous hemorrhage defined as clinically important.
A retinal detachment developed in 36 (13.7%) of 262 eyes. Vitreous organization meeting our
clinically important definition was associated with a 31-fold (confidence interval [CI] 5.37–183.63;
P < .0001) and 13-fold (CI 2.97–58.59;
P < .0001) increase in the odds for retinal detachment for right and left eyes, respectively. Vitreous hemorrhage defined as
clinically important was associated with a 38-fold (CI 2.69–551.19;
P = .007) and 15-fold (CI 1.65–144.12;
P = .02) increase in the odds for retinal detachment for right and left eyes, respectively. The timing of retinal detachment relative to vitreous hemorrhage was not determined. Prolonged activity of Stage 3 disease or plus disease more than 21 days after treatment was not associated with development of a retinal detachment.
Clinically important vitreous organization and vitreous hemorrhage were predictive for development of a retinal detachment. Evaluation of preemptive reintervention strategies for eyes at highest risk for developing a retinal detachment may be reasonable.</description><subject>Birth weight</subject><subject>Confidence intervals</subject><subject>Female</subject><subject>Gestational Age</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Very Low Birth Weight</subject><subject>Laser Coagulation</subject><subject>Male</subject><subject>Postoperative Complications</subject><subject>Premature birth</subject><subject>Retina</subject><subject>Retinal Detachment - etiology</subject><subject>Retinopathy of Prematurity - surgery</subject><subject>Retrospective Studies</subject><subject>Risk Factors</subject><subject>Vitreous Body - pathology</subject><subject>Vitreous Hemorrhage - complications</subject><issn>0002-9394</issn><issn>1879-1891</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kU-LFDEQxYMo7uzqB_AiDcLeekzS6fzR07C6ujCgyIrHkElXmDTdnTFJD8y3N80MLngQQoV6_OpR1EPoDcFrggl_369NH9YUY7YmtEj8GVoRKVRNpCLP0QpjTGvVKHaFrlPqS8sFEy_RFeFYcsXaFTo9TMcwzNmHqQqu-gHZT-Fg8v60tN8jjCbP0edTtXEZYrU1qdTHCCaPMOUP1b2xOcRUbVIK1psMXfXL5331CY4whMMC_TU2Q5GzsftFfYVeODMkeH35b9DP-8-Pd1_r7bcvD3ebbW0boXLtqHAOE0EEZYB3quMdxqKBzihmgTtFd8SqphUODBWtbC0lqjxMWyc5k80Nuj37HmL4PUPKevTJwjCYCcKcNJeslY3ABXz3D9iHOZalkyacMakkkwtFzpSNIaUITh-iH008aYL1korudUlFL6loQovEy8zbi_O8G6F7mrjEUICPZwDKIY4eok7Ww2Sh8xFs1l3w_7H_A_a7nY0</recordid><startdate>20050801</startdate><enddate>20050801</enddate><creator>Coats, David K.</creator><creator>Miller, Aaron M.</creator><creator>Hussein, Mohamed A.W.</creator><creator>McCreery, Kathryn M. Brady</creator><creator>Holz, Eric</creator><creator>Paysse, Evelyn A.</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20050801</creationdate><title>Involution of Retinopathy of Prematurity After Laser Treatment: Factors Associated With Development of Retinal Detachment</title><author>Coats, David K. ; Miller, Aaron M. ; Hussein, Mohamed A.W. ; McCreery, Kathryn M. 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Brady</au><au>Holz, Eric</au><au>Paysse, Evelyn A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Involution of Retinopathy of Prematurity After Laser Treatment: Factors Associated With Development of Retinal Detachment</atitle><jtitle>American journal of ophthalmology</jtitle><addtitle>Am J Ophthalmol</addtitle><date>2005-08-01</date><risdate>2005</risdate><volume>140</volume><issue>2</issue><spage>214</spage><epage>222</epage><pages>214-222</pages><issn>0002-9394</issn><eissn>1879-1891</eissn><coden>AJOPAA</coden><abstract>To identify specific features during the process of involution of retinopathy of prematurity after treatment at threshold that are associated with development of a retinal detachment.
Retrospective case series.
The evolution of retinal detachments over time was analyzed retrospectively in 262 treated eyes of 138 infants. Specific features hypothesized to be associated with development of a retinal detachment were analyzed, including vitreous organization defined as
clinically important, active stage 3 disease and active plus disease more than 21 days after treatment, and vitreous hemorrhage defined as clinically important.
A retinal detachment developed in 36 (13.7%) of 262 eyes. Vitreous organization meeting our
clinically important definition was associated with a 31-fold (confidence interval [CI] 5.37–183.63;
P < .0001) and 13-fold (CI 2.97–58.59;
P < .0001) increase in the odds for retinal detachment for right and left eyes, respectively. Vitreous hemorrhage defined as
clinically important was associated with a 38-fold (CI 2.69–551.19;
P = .007) and 15-fold (CI 1.65–144.12;
P = .02) increase in the odds for retinal detachment for right and left eyes, respectively. The timing of retinal detachment relative to vitreous hemorrhage was not determined. Prolonged activity of Stage 3 disease or plus disease more than 21 days after treatment was not associated with development of a retinal detachment.
Clinically important vitreous organization and vitreous hemorrhage were predictive for development of a retinal detachment. Evaluation of preemptive reintervention strategies for eyes at highest risk for developing a retinal detachment may be reasonable.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>16086945</pmid><doi>10.1016/j.ajo.2004.12.106</doi><tpages>9</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Birth weight Confidence intervals Female Gestational Age Hemorrhage Humans Infant, Newborn Infant, Very Low Birth Weight Laser Coagulation Male Postoperative Complications Premature birth Retina Retinal Detachment - etiology Retinopathy of Prematurity - surgery Retrospective Studies Risk Factors Vitreous Body - pathology Vitreous Hemorrhage - complications |
| title | Involution of Retinopathy of Prematurity After Laser Treatment: Factors Associated With Development of Retinal Detachment |
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