| Abstract | OBJECTIVE: To evaluate the anatomical and visual results of a primary scleral buckling procedure for the treatment of stage 4A and 4B retinopathy of prematurity (ROP) in Thai patients. MATERIAL AND METHOD: The data of premature infants treated with a primary scleral buckling procedure for stage 4 ROP from December 2000 to May 2004 were retrospectively reviewed The outcomes measures were anatomical success, visual outcomes, and refractive error at the end of follow-up. RESULTS: Sixteen eyes of ten patients underwent a scleral buckling procedure and had the mean follow-up period of 17.3 months (range 3-44 months). The anatomical success was 100% (8 of 8 eyes) in stag 4A and 50% (4 of 8 eyes) in stage 4B. At the end of the follow-up, the buckle was removed in 92% (11 of 12 eyes) of retina-attached eyes and showed a mean myopic refraction of-8.68 diopters (range -4. 75 to 13.50). Favorable visual outcome was 50% (4 of 8 eyes) in stage 4A and 12.5% (1 of 8 eyes) in stage 4B. CONCLUSION: Scleral buckling appears to play a role in reducing the progression from stage 4 to stage 5 ROP The anatomical success rate was excellent but the visual results remain challenging for these cases. |
| Authors | Mansing Ratanasukon, Siriraksa Visaetsilpanonta, Supaporn Tengtrisorn, Anuchit Kittantong, Chakree Hirunpat
(Affiliation: Department of Ophthalmology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Songkhla 90110, Thailand. mratanasukon at yahoo.com)
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| Journal | Journal of the Medical Association of Thailand = Chotmaihet thangphaet
(J Med Assoc Thai)
Vol. 89
Issue 10
Pg. 1659-64
(Oct 2006)
ISSN: 0125-2208 Thailand |
| PMID | 17128841
(Publication Type: Journal Article)
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| Topics |
- Child, Preschool
- Female
- Follow-Up Studies
- Humans
- Infant
- Infant, Newborn
- Male
- Retinopathy of Prematurity
(surgery)
- Retrospective Studies
- Scleral Buckling
- Thailand
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