Lens-sparing vitreous surgery for tractional stage 4A retinopathy of prematurity retinal detachments

Ophthalmology. 2001 Nov;108(11):2068-70. doi: 10.1016/s0161-6420(01)00809-0.


Purpose: To assess the efficacy of lens-sparing vitrectomy in tractional 4A retinopathy of prematurity (ROP) retinal detachments in reducing progression to stage 4B or 5 ROP.

Design: Retrospective, noncomparative consecutive case series.

Participants: Forty eyes (31 patients) with stage 4A ROP at 38 to 42 weeks post-conceptional age.

Intervention: Lens-sparing vitrectomy.

Main outcome measures: Retinal attachment status and presence/absence of fixation behavior.

Results: The range of follow-up was 6 to 22 months (mean, 12 months). Ninety percent (36 of 40) of eyes showed retinal reattachment and fixation behavior at their last follow-up visit.

Conclusions: These results suggest that vitreous surgery can interrupt progression of ROP from stage 4A to stages 4B or 5.

MeSH terms

  • Female
  • Fixation, Ocular
  • Humans
  • Infant
  • Infant, Newborn
  • Male
  • Retinal Detachment / etiology
  • Retinal Detachment / surgery*
  • Retinopathy of Prematurity / classification
  • Retinopathy of Prematurity / complications
  • Retinopathy of Prematurity / surgery*
  • Treatment Outcome
  • Visual Acuity
  • Vitrectomy / methods*