Indian Journal of Ophthalmology

ORIGINAL ARTICLE
Year
: 2000  |  Volume : 48  |  Issue : 2  |  Page : 101--6

Surgery for stage 5 retinopathy of prematurity: The learning curve and evolving technique


L Gopal, T Sharma, M Shanmugam, SS Badrinath, A Sharma, SG Agraharam, A Choudhary 
 Medical and Vision Research Foundation, Chennai, India

Correspondence Address:
L Gopal
Medical and Vision Research Foundation, Chennai
India

Purpose: To describe our experience with management of eyes with stage 5 retinopathy of prematurity (ROP) Methods: Closed vitreoretinal surgery was done on 96 eyes of patients with stage 5 ROP. Lens was sacrificed in all but one eye. Surgery involved an attempt to clear all preretinal tissue and open the peripheral trough all round. In most instances bimanual surgery under viscoelastic was performed. Results: At last follow up, anatomical success (defined as attached posterior pole) was achieved in 22.5% cases. Significant postoperative problems included reproliferation and secondary glaucoma. Only two infants obtained mobile vision. Conclusion: Late identification of disease, lack of prior treatment such as laser or cryo, and higher incidence of narrow-narrow funnel configuration were responsible for the poor surgical results noted in this series. The poor surgical and functional results reemphasise the need for prompt screening and management of infants at risk.


How to cite this article:
Gopal L, Sharma T, Shanmugam M, Badrinath S S, Sharma A, Agraharam S G, Choudhary A. Surgery for stage 5 retinopathy of prematurity: The learning curve and evolving technique.Indian J Ophthalmol 2000;48:101-6


How to cite this URL:
Gopal L, Sharma T, Shanmugam M, Badrinath S S, Sharma A, Agraharam S G, Choudhary A. Surgery for stage 5 retinopathy of prematurity: The learning curve and evolving technique. Indian J Ophthalmol [serial online] 2000 [cited 2020 Jun 3 ];48:101-6
Available from: http://www.ijo.in/article.asp?issn=0301-4738;year=2000;volume=48;issue=2;spage=101;epage=6;aulast=Gopal;type=0