Outcome of Eyes Developing Retinal Detachment During the Early Treatment for Retinopathy of Prematurity Study
OBJECTIVE To describe the structural and visual outcomes at age 6 years of retinal detachment (RD) from retinopathy of prematurity (ROP) in the Early Treatment for Retinopathy of Prematurity (ETROP) study. METHODS Prospective multicenter nonrandomized series of infants with high-risk prethreshold RO...
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| Veröffentlicht in: | Archives of ophthalmology (1960) 2011-09, Vol.129 (9), p.1175-1179 |
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| container_title | Archives of ophthalmology (1960) |
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| creator | Repka, Michael X Tung, Betty Good, William V Capone, Antonio Shapiro, Michael J |
| description | OBJECTIVE To describe the structural and visual outcomes at age 6 years of retinal detachment (RD) from retinopathy of prematurity (ROP) in the Early Treatment for Retinopathy of Prematurity (ETROP) study. METHODS Prospective multicenter nonrandomized series of infants with high-risk prethreshold ROP who developed an RD by 6 months corrected age treated with observation or vitreoretinal surgery. RESULTS Of 401 patients, 63 (89 eyes) experienced RD. Follow-up at age 6 years was available for 70 eyes (79%) of 49 surviving patients. The RDs were stage 4A in 28 eyes (40%), stage 4B in 14 (20%), stage 5 in 13 (19%), and not classified in 15 (21%). The macula was attached in 17 of 50 eyes (34%) after vitrectomy with or without scleral buckle, in 6 of 9 (67%) after scleral buckle only, and in 2 of 11 eyes (18%) observed. An attached macula at age 6 years after vitreoretinal surgery was present in 5 of 16 eyes (31%) with stage 4A, 6 of 10 (60%) with stage 4B, and 0 of 10 with stage 5. Favorable visual acuity (>20/200) was found in 6 of 70 eyes (9%); 5 had stage 4A, and 1 was not classified. CONCLUSIONS Macular attachment was achieved in approximately one-third of eyes with RD and favorable visual acuity in some eyes with stage 4A. |
| doi_str_mv | 10.1001/archophthalmol.2011.229 |
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METHODS Prospective multicenter nonrandomized series of infants with high-risk prethreshold ROP who developed an RD by 6 months corrected age treated with observation or vitreoretinal surgery. RESULTS Of 401 patients, 63 (89 eyes) experienced RD. Follow-up at age 6 years was available for 70 eyes (79%) of 49 surviving patients. The RDs were stage 4A in 28 eyes (40%), stage 4B in 14 (20%), stage 5 in 13 (19%), and not classified in 15 (21%). The macula was attached in 17 of 50 eyes (34%) after vitrectomy with or without scleral buckle, in 6 of 9 (67%) after scleral buckle only, and in 2 of 11 eyes (18%) observed. An attached macula at age 6 years after vitreoretinal surgery was present in 5 of 16 eyes (31%) with stage 4A, 6 of 10 (60%) with stage 4B, and 0 of 10 with stage 5. Favorable visual acuity (>20/200) was found in 6 of 70 eyes (9%); 5 had stage 4A, and 1 was not classified. CONCLUSIONS Macular attachment was achieved in approximately one-third of eyes with RD and favorable visual acuity in some eyes with stage 4A.</description><identifier>ISSN: 0003-9950</identifier><identifier>ISSN: 2168-6165</identifier><identifier>EISSN: 1538-3601</identifier><identifier>EISSN: 2168-6173</identifier><identifier>DOI: 10.1001/archophthalmol.2011.229</identifier><identifier>PMID: 21911664</identifier><language>eng</language><publisher>Chicago, IL: American Medical Association</publisher><subject>Acuity ; Age ; Biological and medical sciences ; Blindness ; Child ; Child, Preschool ; Eye surgery ; Follow-Up Studies ; Humans ; Infant ; Infant, Newborn ; Infant, Very Low Birth Weight ; Infants ; Medical sciences ; Miscellaneous ; Observation ; Ophthalmology ; Pediatrics ; Prospective Studies ; Retina ; Retinal Detachment - etiology ; Retinal Detachment - physiopathology ; Retinal Detachment - surgery ; Retinopathies ; Retinopathy ; Retinopathy of Prematurity - complications ; Retinopathy of Prematurity - physiopathology ; Retinopathy of Prematurity - surgery ; Risk groups ; Scleral Buckling ; Surgery ; Treatment Outcome ; Visual Acuity - physiology ; Vitrectomy</subject><ispartof>Archives of ophthalmology (1960), 2011-09, Vol.129 (9), p.1175-1179</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright American Medical Association Sep 2011</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a536t-49a4d4e8ab6a3f03a42c564bd06a1a25a3ef2a6a497f93883f8fdc34861b8a7e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24570155$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21911664$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Repka, Michael X</creatorcontrib><creatorcontrib>Tung, Betty</creatorcontrib><creatorcontrib>Good, William V</creatorcontrib><creatorcontrib>Capone, Antonio</creatorcontrib><creatorcontrib>Shapiro, Michael J</creatorcontrib><title>Outcome of Eyes Developing Retinal Detachment During the Early Treatment for Retinopathy of Prematurity Study</title><title>Archives of ophthalmology (1960)</title><addtitle>Arch Ophthalmol</addtitle><description>OBJECTIVE To describe the structural and visual outcomes at age 6 years of retinal detachment (RD) from retinopathy of prematurity (ROP) in the Early Treatment for Retinopathy of Prematurity (ETROP) study. METHODS Prospective multicenter nonrandomized series of infants with high-risk prethreshold ROP who developed an RD by 6 months corrected age treated with observation or vitreoretinal surgery. RESULTS Of 401 patients, 63 (89 eyes) experienced RD. Follow-up at age 6 years was available for 70 eyes (79%) of 49 surviving patients. The RDs were stage 4A in 28 eyes (40%), stage 4B in 14 (20%), stage 5 in 13 (19%), and not classified in 15 (21%). The macula was attached in 17 of 50 eyes (34%) after vitrectomy with or without scleral buckle, in 6 of 9 (67%) after scleral buckle only, and in 2 of 11 eyes (18%) observed. An attached macula at age 6 years after vitreoretinal surgery was present in 5 of 16 eyes (31%) with stage 4A, 6 of 10 (60%) with stage 4B, and 0 of 10 with stage 5. Favorable visual acuity (>20/200) was found in 6 of 70 eyes (9%); 5 had stage 4A, and 1 was not classified. CONCLUSIONS Macular attachment was achieved in approximately one-third of eyes with RD and favorable visual acuity in some eyes with stage 4A.</description><subject>Acuity</subject><subject>Age</subject><subject>Biological and medical sciences</subject><subject>Blindness</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Eye surgery</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infant, Very Low Birth Weight</subject><subject>Infants</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Observation</subject><subject>Ophthalmology</subject><subject>Pediatrics</subject><subject>Prospective Studies</subject><subject>Retina</subject><subject>Retinal Detachment - etiology</subject><subject>Retinal Detachment - physiopathology</subject><subject>Retinal Detachment - surgery</subject><subject>Retinopathies</subject><subject>Retinopathy</subject><subject>Retinopathy of Prematurity - complications</subject><subject>Retinopathy of Prematurity - physiopathology</subject><subject>Retinopathy of Prematurity - surgery</subject><subject>Risk groups</subject><subject>Scleral Buckling</subject><subject>Surgery</subject><subject>Treatment Outcome</subject><subject>Visual Acuity - physiology</subject><subject>Vitrectomy</subject><issn>0003-9950</issn><issn>2168-6165</issn><issn>1538-3601</issn><issn>2168-6173</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kV2P1CAYhYnRuOPqH_BCGxOjNx2hfAxcmt3xI9lkja7XzTsUbDdQKlCT_nupM7rRC68IvM85wDkIPSd4SzAmbyDqPkx97sH54LYNJmTbNOoe2hBOZU0FJvfRBmNMa6U4PkOPUrotW0GweojOGqIIEYJtkL-esw7eVMFW-8Wk6tL8MC5Mw_it-mzyMIIrRxl0782Yq8s5rpPcm2oP0S3VTTSQf41siEdFmCD3y2r4KRoPuUjyUn3Jc7c8Rg8suGSenNZz9PXd_ubiQ311_f7jxdurGjgVuWYKWMeMhIMAajEF1mgu2KHDAgg0HKixDQhgamcVlZJaaTtNmRTkIGFn6Dl6dfSdYvg-m5RbPyRtnIPRhDm1UirGJFe8kK__S5a8KOOCM1zQF_-gt2GOJaDip5qSLOGiQLsjpGNIKRrbTnHwEJfi1K7VtX9X167VtaW6onx2sp8P3nR_dL-7KsDLEwBJg7MRRj2kO47xXXnC-qWnRw483N1OsGCsoT8BwXevHQ</recordid><startdate>20110901</startdate><enddate>20110901</enddate><creator>Repka, Michael X</creator><creator>Tung, Betty</creator><creator>Good, William V</creator><creator>Capone, Antonio</creator><creator>Shapiro, Michael J</creator><general>American Medical Association</general><scope>IQODW</scope><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>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20110901</creationdate><title>Outcome of Eyes Developing Retinal Detachment During the Early Treatment for Retinopathy of Prematurity Study</title><author>Repka, Michael X ; Tung, Betty ; Good, William V ; Capone, Antonio ; Shapiro, Michael J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a536t-49a4d4e8ab6a3f03a42c564bd06a1a25a3ef2a6a497f93883f8fdc34861b8a7e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Acuity</topic><topic>Age</topic><topic>Biological and medical sciences</topic><topic>Blindness</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Eye surgery</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infant, Very Low Birth Weight</topic><topic>Infants</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Observation</topic><topic>Ophthalmology</topic><topic>Pediatrics</topic><topic>Prospective Studies</topic><topic>Retina</topic><topic>Retinal Detachment - etiology</topic><topic>Retinal Detachment - physiopathology</topic><topic>Retinal Detachment - surgery</topic><topic>Retinopathies</topic><topic>Retinopathy</topic><topic>Retinopathy of Prematurity - complications</topic><topic>Retinopathy of Prematurity - physiopathology</topic><topic>Retinopathy of Prematurity - surgery</topic><topic>Risk groups</topic><topic>Scleral Buckling</topic><topic>Surgery</topic><topic>Treatment Outcome</topic><topic>Visual Acuity - physiology</topic><topic>Vitrectomy</topic><toplevel>online_resources</toplevel><creatorcontrib>Repka, Michael X</creatorcontrib><creatorcontrib>Tung, Betty</creatorcontrib><creatorcontrib>Good, William V</creatorcontrib><creatorcontrib>Capone, Antonio</creatorcontrib><creatorcontrib>Shapiro, Michael J</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 & Medical Complete (Alumni)</collection><collection>Nursing & 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>Repka, Michael X</au><au>Tung, Betty</au><au>Good, William V</au><au>Capone, Antonio</au><au>Shapiro, Michael J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Outcome of Eyes Developing Retinal Detachment During the Early Treatment for Retinopathy of Prematurity Study</atitle><jtitle>Archives of ophthalmology (1960)</jtitle><addtitle>Arch Ophthalmol</addtitle><date>2011-09-01</date><risdate>2011</risdate><volume>129</volume><issue>9</issue><spage>1175</spage><epage>1179</epage><pages>1175-1179</pages><issn>0003-9950</issn><issn>2168-6165</issn><eissn>1538-3601</eissn><eissn>2168-6173</eissn><abstract>OBJECTIVE To describe the structural and visual outcomes at age 6 years of retinal detachment (RD) from retinopathy of prematurity (ROP) in the Early Treatment for Retinopathy of Prematurity (ETROP) study. METHODS Prospective multicenter nonrandomized series of infants with high-risk prethreshold ROP who developed an RD by 6 months corrected age treated with observation or vitreoretinal surgery. RESULTS Of 401 patients, 63 (89 eyes) experienced RD. Follow-up at age 6 years was available for 70 eyes (79%) of 49 surviving patients. The RDs were stage 4A in 28 eyes (40%), stage 4B in 14 (20%), stage 5 in 13 (19%), and not classified in 15 (21%). The macula was attached in 17 of 50 eyes (34%) after vitrectomy with or without scleral buckle, in 6 of 9 (67%) after scleral buckle only, and in 2 of 11 eyes (18%) observed. An attached macula at age 6 years after vitreoretinal surgery was present in 5 of 16 eyes (31%) with stage 4A, 6 of 10 (60%) with stage 4B, and 0 of 10 with stage 5. Favorable visual acuity (>20/200) was found in 6 of 70 eyes (9%); 5 had stage 4A, and 1 was not classified. CONCLUSIONS Macular attachment was achieved in approximately one-third of eyes with RD and favorable visual acuity in some eyes with stage 4A.</abstract><cop>Chicago, IL</cop><pub>American Medical Association</pub><pmid>21911664</pmid><doi>10.1001/archophthalmol.2011.229</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Acuity Age Biological and medical sciences Blindness Child Child, Preschool Eye surgery Follow-Up Studies Humans Infant Infant, Newborn Infant, Very Low Birth Weight Infants Medical sciences Miscellaneous Observation Ophthalmology Pediatrics Prospective Studies Retina Retinal Detachment - etiology Retinal Detachment - physiopathology Retinal Detachment - surgery Retinopathies Retinopathy Retinopathy of Prematurity - complications Retinopathy of Prematurity - physiopathology Retinopathy of Prematurity - surgery Risk groups Scleral Buckling Surgery Treatment Outcome Visual Acuity - physiology Vitrectomy |
| title | Outcome of Eyes Developing Retinal Detachment During the Early Treatment for Retinopathy of Prematurity Study |
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