NR 1-2/2003
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Możliwości samoistnej regresji zmian w fazie
czynnej retinopatii wcześniaków
Possibilities of spontaneous regression in active
phase of ROP
Marek Prost
Z Centrum Okulistyki Dziecięcej w Warszawie
Kierownik: prof. dr hab. n. med. Marek Prost |
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| Summary: |
Purpose: To evaluate the possibilities of
spontaneous regression of changes in the retina and vitreous in active stage 1-5
retinopathy in prematurity.
Material and methods: 168 premature infants with active stages 1-3 and 91
with stages 4-5 ROP, was observed by the author in years 1995-2002.
Results: Spontaneous regression of changes in the retina and vitreous was
observed in 85% of children with stage 1, in 56% in stage 2 and in 25% in stage 3. In
stage 3 regression occurred in 35% in stage 3 A, in 18% in 3 B and in 12% in stage 3 C.
With changes in zone III regression can be expected in 95%, in zone II in 45% and in zone
I in 6%. Spontaneous reattachment of the retina was observed in 27% of children with stage
4A, in 15 % with stage 4B and only in 6% in stage 5.
Conlusions: Considering the occurrence of spontaneous regression, laser
therapy should be performed in every stage, if changes are observed in zone I and in every
case of stage 3 B and 3 C. |
| Słowa kluczowe: |
retinopatia wcześniaków, samoistna regresja, wskazania do
laseroterapii. |
| Key words: |
retinopathy of prematurity, spontaneous regression,
indications for laser therapy. |
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