NR 6/2003
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Wyniki leczenia fazy aktywnej retinopatii wcześniaków
laserem diodowym
The results of diode laser treatment of active phase
of retinopathy of prematurity
Anna Gotz-Więckowska1, Jarosław Kocięcki1,
Ewa Burchardt-Kroll2, Janusz Gadzinowski2
1Z Katedry i Kliniki Okulistyki Akademii Medycznej w Poznaniu
Kierownik: prof. dr hab. n. med. Krystyna Pecold
2Z Katedry i Klinki Neonatologii Akademii Medycznej w Poznaniu
Kierownik: prof. dr hab. n. med. Janusz Gadzinowski |
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| Summary: |
Purpose: 1. The results of diode laser
treatment of active phase of retinopathy of prematurity. 2. Determination of risk factors
influencing results of treatment. 3. Determination of coexistence frequency with other
chronic diseases subsequent to ROP, like broncho-pulmonary dysplasia, hydrocephalus and
periventricular leucomalacia.
Patients and method: 27 premature infants were treated with an aid of
diode laser since June to December 2002. Birth weight varied from 550 to 1600g (mean
941,85g) and gestational age from 25 to 32 weeks (mean Hbd 27,6). In 6 premature infants
(12 eyes) ROP was stated in the I zone. In 14 premature infants (28 eyes) threshold ROP
was found in II zone. In 2 premature infants (3 eyes) threshold ROP diagnosed in III zone
and in 5 premature infants (10 eyes) wide fibro-vascular proliferations were found in the
area exceeding 12 hours. Treatment was performed with an aid of diode laser OcuLight SLx
from the company IRIS Medical Instruments, Inc., emitting infrared radiation (810 nm).
Results: Good anatomical results were obtained in 17 cases (36 eyes), in
3 cases (5 eyes) macular ectopy, in 2 cases (3 eyes) partial retinal detachment and in 5
cases (10 eyes) total retinal detachment. Only in 4 children ROP occurred as a late
complication of prematurity.
Conclusions: 1. Obtained results of treatment with an aid of diode laser
depend on localization of lesions, occurring in course of ROP and on the stage of its
advancement. Treatment performed in premature infants in active phase, threshold ROP in
the II-nd and III-rd zone causes good anatomical results. 2. The cause of treatment
failure was localization of ROP in the I-st zone, accompanied by rapid course or wide
fibro-vascular proliferations exceeding 12 hours. 3. Children with diagnosed retinopathy
are at high risk of psycho-motoric disturbance because of other chronic disorders, that
may often coexist. |
| Słowa kluczowe: |
retinopatia wcześniaków, laseroterapia, laser diodowy. |
| Key words: |
retinopathy of prematurity, laser therapy, diode laser. |
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