Staged lensectomy and vitrectomy in the management of stage 5C retinopathy of prematurity with corneal opacification:long-term follow up  

作　　者：Ping Fei Ting-Yi Liang Jie Peng Yu Xu Jia Luo Qi Zhang Jia-Kai Li Jiao Lyu Pei-Quan Zhao 

机构地区：[1]Department of Ophthalmology,Xinhua Hospital,Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China

出　　处：《International Journal of Ophthalmology(English edition)》2022年第9期1437-1443,共7页国际眼科杂志（英文版）

基　　金：Supported by the National Natural Science Foundation of China(No.81770963;No.81770964)。

摘　　要：·AIM:To verify the feasibility and safety of staged lensectomy and vitrectomy in stage 5 C retinopathy of prematurity(ROP)with corneal opacification.·METHODS:This was a retrospective,interventional,consecutive case series.Twenty-two eyes of 18 stage 5 C ROP patients with corneal opacification were included.Regular combined lensectomy and vitrectomy were not prescribed due to the invisible fundus.Staged lensectomy and posterior vitrectomy were performed.The anatomical and visual outcomes were reviewed at the final follow-up visit.·RESULTS:The mean gestational age of ROP patients was29.3±1.6 wk(range:27-32 wk),comprising 8 males and 10 females.The average birth weight was 1363.0±300.0 g.All the eyes had corneal opacity and flat or disappeared anterior chambers pre-operatively.Two eyes had complicated cataract and 7 eyes had retrolental fibroplasia.Six eyes had posterior pupillary synechiae or membranes.Seven(31.8%)eyes had vascularly active retinas.The average interval between two procedures was 6.8±4.6 mo(2.5-18.5 mo).After surgeries,all the patients had normal anterior chambers.Fourteen eyes had clear corneas.The intraocular pressure of 3 eyes with glaucoma was controlled by medication.Two eyes had ocular phthisis.The retina was reattached in 3 eyes and partially attached in 11 eyes.Visual acuity ranged from no light perception to hand motion.·CONCLUSION:Staged lensectomy and vitrectomy are procedures that can halt progression to further complications and preserve some useful eyesight in stage5 C ROP patients with corneal opacification.The earlier the lensectomy is performed,the better the prognosis is.

关 键 词：LENSECTOMY VITRECTOMY staged surgery retinopathy of prematurity corneal opacification retinal detachment 

分 类 号：R779.6[医药卫生—眼科]