Anatomical and Functional Outcome of Coagulation Treatment for Retinopathy of Prematurity between 1991-2002
Jandeck C., Kellner U., Heimann H., Foerster M. H.
Dept. of Ophthalmology, Universitäts-Klinikum Benjamin Franklin, FU Berlin
Purpose: To analyze the anatomical and functional outcome after cryotherapy or laser photocoagulation for threshold retinopathy of prematurity (ROP) at a single Retinal Department.
Method: Between 1991 and 2002 137 eyes of 70 patients were treated, according to the Cryo-ROP study criteria, and followed-up at least until the retina was completely vascularized. 60 Patients (118 eyes) could be followed-up >12 months with a mean of 4.3 years of the laser-treated patients and 7.2 years of the patients with cryotherapy.
Results: Gestational age of the 70 patients ranged from 23 to 32 weeks, birth weight from 465 to 2185 gram. An unfavorable outcome as defined by the Cryo-ROP Study occurred in 1/91 (1%) laser-treated eyes and in 3/46 (6,5%) eyes with cryotherapy. Temporal dragging of vessels was noticed in 6/91 (6.6%) laser-treated and in 7/46 (15.2%) eyes with cryotherapy. Because of immaturity or cerebral damage visual acuity could only be obtained in 45/74 (62.2%) eyes with lasertreatment and 31/44 (70.5%) eyes with cryotherapy. Visual acuity of Zurück | Back