NR 6/2003
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Ocena wyników leczenia odwarstwienia siatkówki
w przebiegu 5. stadium fazy czynnej retinopatii wcześniaków
Results of treatment of retinal detachment in active
stage 5 retinopathy of prematurity
Marek E. Prost
Z Centrum Okulistyki Dziecięcej w Warszawie
Kierownik: prof. dr hab. n. med. Marek E. Prost |
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| Summary: |
Purpose: To evaluate the surgical and
functional results of encircling scleral buckling in treatment of active stage 5
retinopathy of prematurity.
Material and methods: 68 premature infants (121 eyes) with active stage 5
ROP operated with the use of the modified encercling buckling technique. The surgical and
functional results were compared with the results observed in 91 unoperated children with
active stage 5 ROP.
Results: In the operated group total retinal reattachment was observed in
52% and partial reattachment in 24,5% of premature infants. The surgery failed to reattach
the retina in 23,5%. Visual acuity was: no light perception in 56,1%, light perception to
0,02 in 24,5% and 0,02 to 0,2 in 19,4% of children. In unoperated group spontaneous
reattachment was observed in 6% of infants and visual acuity was: no light perception in
76%, light perception in 20% and finger counting in 4% of them.
Conclusion: The obtained results indicate, that modified encircling buckling can be an
effective treatment in reattaching the retina in stage 5 ROP although useful vision can be
obtained in only 20% of operated children. |
| Słowa kluczowe: |
retinopatia wcześniaków, stadium 5, odwarstwienia siatkówki
w przebiegu retinopatii wczęsniaków, leczenie, opasanie gałki, wyniki. |
| Key words: |
retinopathy of prematurity, stage 5, retinal detachment
secondary to ROP, treatment, encircling scleral buckling, results. |
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