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NR 10-12/2006
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Wyniki leczenia
retinopatii wcześniaczej metodą panfotokoagulacji laserowej w
latach 2003-2005 na terenie województwa zachodniopomorskiego w
materiale Katedry i Kliniki Okulistycznej Pomorskiej Akademii
Medycznej w Szczecinie
The results of
panphotocoagulation laser treatment in retinopathy of
prematurity in the West Pomeranian Region in 2003-2005 years
Monika Modrzejewska, Ewa Tomala, Danuta
Karczewicz, Jacek Rudnicki1, Beata Czeszyńska2,
Jacek Patalan3
Z Katedry i Kliniki Okulistyki Pomorskiej Akademii Medycznej w
Szczecinie
Kierownik: prof. dr hab. n. med. Danuta Karczewicz
1 Z Kliniki Neonatologii Pomorskiej Akademii
Medycznej w Szczecinie
Kierownik: prof. dr hab. n. med. Beata Czeszyńska
2 Z Oddziału Intensywnej Terapii Noworodka SPSK 2 w
Szczecinie
Z Katedry i Kliniki Położnictwa i Perinatologii Pomorskiej
Akademii Medycznej w Szczecinie
Kierownik: prof. dr hab. n. med. Ryszard Czajka
3 Z Oddziału Noworodka, Patologii i Intensywnej
Terapii SPS ZOZ Szpital Zdroje
Ordynator: dr med. Jacek Patalan |
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| Summary: |
Purpose: ROP –
retinopathy of prematurity is a disease of the retina
and the vitreous body of premature infants, especially
born before 28 weeks of intrauterine life (71%), rare
till 33 weeks of pregnancy (7.6%) (1, 2). The
pathogenesis is involved with damage of immature vessels
of the retina. The disease seems to self-regress in 80%.
According to stage of changes of the retina there could
be some complications of the organ of vision like:
refractive errors, disturbances of eyeball movement,
poor vision or even blindness (19.01%). ROP is now
second (after atrophy of the optic nerve) cause of
blindness in children (3). Aim of our study was the
analysis of the results of laser-treatment in ROP in
West Pomeranian region in years 2003-2005 and estimation
of the risk factors of advanced stages of ROP.
Material and methods: Since January 2003 to June
2005 in Outpatients Clinic for Premature Infants of the
Ophthalmology Department of The West Pomeranian Medical
University in Szczecin we have examined 708 children. 40
premature infants (78 eyes) were treated with
panphotocoagulation of the retina because of advanced
ROP. We have used the Ocu-Lights SL laser, manufactured
by Iris Medical.
Results: Laser treatment caused regression of ROP
in 88.5% of children. In 11.5% the progression of ROP
caused secondary retina detachment.
Conclusions: Respiratory failure, anemia,
infections and multi-organ inflammations increase the
risk of ROP. Good results of laser treatment depend of
beginning of the therapy in the right stage of ROP. On
the final results of treatment could have got the
influence both: immaturity of the child and the showed
risk of factors. |
| Słowa kluczowe: |
retinopatia wcześniaków,
najczęstsze przyczyny występowania, leczenie laserem
diodowym. |
| Key words: |
retinopathy of prematurity,
the main causes of ROP, diode laser treatment. |
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