Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Surgical Complications in Retinopathy of Prematurity: Literature Review and Management Strategies

Surgical Complications in Retinopathy of Prematurity: Literature Review and Management Strategies Surgical Complications in Retinopathy of Prematurity: Literature Review and Management Strategies Taku Wakabayashi, MD, PhD Yoshihiro Yonekawa, MD Introduction Vitreoretinal surgery for pediatric vitreoretinal diseases, such as retinopathy of prematurity (ROP), familial exudative vitreoretinopathy, and persistent fetal vasculature have evolved over the past several 1–4 decades. Advances include a wide variety of small-gauge instruments, evidence-based approaches such as lens-sparing vitrectomy (LSV) for 5–7 stage 4 ROP, and anti-vascular endothelial growth factor (VEGF) 8,9 injections as a surgical adjunct. The main goal of pediatric retinal detachment surgery is to relieve tractional forces through scleral buckling (SB) and/or vitrectomy to reattachment the retina. The anatomic success rate of vitrectomy for stage 4A and stage 4B 2,3,7,10–18 ROP ranges from 82% to 100% and 63% to 92%, respectively. The anatomic success rates of familial exudative vitreoretinopathy–related tractional retinal detachment (TRD) and rhegmatogenous retinal detach- 19–24 ment also range from 63% to 96%. However, anatomic and functional failures increase with higher stages of disease, where the risk for 16,18,25,26 complications may also increase. There is always a risk for complications with any surgery. Some issues in vitreoretinal surgery are expected, such as gradual cataract formation and transient ptosis. More significant intraoperative and postoperative http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png International Ophthalmology Clinics Wolters Kluwer Health

Surgical Complications in Retinopathy of Prematurity: Literature Review and Management Strategies

Download PDF
12 pages

Loading next page...
 
/lp/wolters-kluwer-health/surgical-complications-in-retinopathy-of-prematurity-literature-review-VCdnp74TqG

References (88)

Publisher
Wolters Kluwer Health
Copyright
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
ISSN
0020-8167
eISSN
1536-9617
DOI
10.1097/iio.0000000000000421
Publisher site
See Article on Publisher Site

Abstract

Surgical Complications in Retinopathy of Prematurity: Literature Review and Management Strategies Taku Wakabayashi, MD, PhD Yoshihiro Yonekawa, MD Introduction Vitreoretinal surgery for pediatric vitreoretinal diseases, such as retinopathy of prematurity (ROP), familial exudative vitreoretinopathy, and persistent fetal vasculature have evolved over the past several 1–4 decades. Advances include a wide variety of small-gauge instruments, evidence-based approaches such as lens-sparing vitrectomy (LSV) for 5–7 stage 4 ROP, and anti-vascular endothelial growth factor (VEGF) 8,9 injections as a surgical adjunct. The main goal of pediatric retinal detachment surgery is to relieve tractional forces through scleral buckling (SB) and/or vitrectomy to reattachment the retina. The anatomic success rate of vitrectomy for stage 4A and stage 4B 2,3,7,10–18 ROP ranges from 82% to 100% and 63% to 92%, respectively. The anatomic success rates of familial exudative vitreoretinopathy–related tractional retinal detachment (TRD) and rhegmatogenous retinal detach- 19–24 ment also range from 63% to 96%. However, anatomic and functional failures increase with higher stages of disease, where the risk for 16,18,25,26 complications may also increase. There is always a risk for complications with any surgery. Some issues in vitreoretinal surgery are expected, such as gradual cataract formation and transient ptosis. More significant intraoperative and postoperative

Journal

International Ophthalmology Clinics – Wolters Kluwer Health

Published: Jun 22, 2022

There are no references for this article.