Evaluation of segmental scleral buckling surgery for stage 4A retinopathy of prematurity in China
AimsTo describe the long-term effect of scleral buckling (SB) surgery for stage 4A retinopathy of prematurity (ROP).MethodsA retrospective chart review was conducted for patients with a diagnosis of stage 4A ROP who underwent SB between October 2010 and October 2021. Basic data were collected from p...
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Frontiers Media S.A.
2022-08-01
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fmed.2022.969861/full |
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| author | Yusheng Zhong Yating Yang Hong Yin Mingwei Zhao Xiaoxin Li Xiaoxin Li Jianhong Liang Yong Cheng |
| author_facet | Yusheng Zhong Yating Yang Hong Yin Mingwei Zhao Xiaoxin Li Xiaoxin Li Jianhong Liang Yong Cheng |
| author_sort | Yusheng Zhong |
| collection | DOAJ |
| description | AimsTo describe the long-term effect of scleral buckling (SB) surgery for stage 4A retinopathy of prematurity (ROP).MethodsA retrospective chart review was conducted for patients with a diagnosis of stage 4A ROP who underwent SB between October 2010 and October 2021. Basic data were collected from patient charts, including gender, birth weight, gestational age at birth, disease stage, presence of plus disease, preoperative treatment [laser photocoagulation, intravitreal anti-vascular endothelial growth factor (VEGF) agent therapy, or a combination of both] and complications (vitreous hemorrhages), postmenstrual age at surgery, intraoperative combined treatment, and total length of follow-up. Retinal attachment status after surgery, postoperative complications (glaucoma, cataract), date and type of subsequent retinal surgeries (if performed), and refractive status 1 year after surgery were evaluated. The follow-up time after the first procedure was over 1 year.ResultsSix-two eyes from forty-eight patients met the inclusion criteria for this study. The initial reattachment rate was 93.5% (58/62 eyes), and the final reattachment rate was 100% after two procedures at the end of follow-up. The incidence of cataracts was 3.2% (2/62), with no eye subsequently needing lensectomy surgery. None of the patients developed glaucoma during the follow-up time. The average spherical equivalent refraction value for patients was −3.00 ± 2.51 D (−7.60 D to +2.75 D) 1 year after surgery.ConclusionSB, especially segmental buckling, which induces less myopia and does not require buckle removal, has the potential to provide a significant positive impact in the treatment of stage 4A ROP. |
| first_indexed | 2024-04-14T06:00:24Z |
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| language | English |
| last_indexed | 2024-04-14T06:00:24Z |
| publishDate | 2022-08-01 |
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| series | Frontiers in Medicine |
| spelling | doaj.art-034bd826f0d04b74a181e0a55baaef1f2022-12-22T02:08:46ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-08-01910.3389/fmed.2022.969861969861Evaluation of segmental scleral buckling surgery for stage 4A retinopathy of prematurity in ChinaYusheng Zhong0Yating Yang1Hong Yin2Mingwei Zhao3Xiaoxin Li4Xiaoxin Li5Jianhong Liang6Yong Cheng7Department of Ophthalmology and Clinical Centre of Optometry, Peking University People’s Hospital, Eye Diseases and Optometry Institute, Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, College of Optometry, Peking University Health Science Center, Beijing, ChinaDepartment of Ophthalmology and Clinical Centre of Optometry, Peking University People’s Hospital, Eye Diseases and Optometry Institute, Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, College of Optometry, Peking University Health Science Center, Beijing, ChinaDepartment of Ophthalmology and Clinical Centre of Optometry, Peking University People’s Hospital, Eye Diseases and Optometry Institute, Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, College of Optometry, Peking University Health Science Center, Beijing, ChinaDepartment of Ophthalmology and Clinical Centre of Optometry, Peking University People’s Hospital, Eye Diseases and Optometry Institute, Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, College of Optometry, Peking University Health Science Center, Beijing, ChinaDepartment of Ophthalmology and Clinical Centre of Optometry, Peking University People’s Hospital, Eye Diseases and Optometry Institute, Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, College of Optometry, Peking University Health Science Center, Beijing, ChinaXiamen Eye Center, Xiamen University, Xiamen, ChinaDepartment of Ophthalmology and Clinical Centre of Optometry, Peking University People’s Hospital, Eye Diseases and Optometry Institute, Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, College of Optometry, Peking University Health Science Center, Beijing, ChinaDepartment of Ophthalmology and Clinical Centre of Optometry, Peking University People’s Hospital, Eye Diseases and Optometry Institute, Beijing Key Laboratory of Diagnosis and Therapy of Retinal and Choroid Diseases, College of Optometry, Peking University Health Science Center, Beijing, ChinaAimsTo describe the long-term effect of scleral buckling (SB) surgery for stage 4A retinopathy of prematurity (ROP).MethodsA retrospective chart review was conducted for patients with a diagnosis of stage 4A ROP who underwent SB between October 2010 and October 2021. Basic data were collected from patient charts, including gender, birth weight, gestational age at birth, disease stage, presence of plus disease, preoperative treatment [laser photocoagulation, intravitreal anti-vascular endothelial growth factor (VEGF) agent therapy, or a combination of both] and complications (vitreous hemorrhages), postmenstrual age at surgery, intraoperative combined treatment, and total length of follow-up. Retinal attachment status after surgery, postoperative complications (glaucoma, cataract), date and type of subsequent retinal surgeries (if performed), and refractive status 1 year after surgery were evaluated. The follow-up time after the first procedure was over 1 year.ResultsSix-two eyes from forty-eight patients met the inclusion criteria for this study. The initial reattachment rate was 93.5% (58/62 eyes), and the final reattachment rate was 100% after two procedures at the end of follow-up. The incidence of cataracts was 3.2% (2/62), with no eye subsequently needing lensectomy surgery. None of the patients developed glaucoma during the follow-up time. The average spherical equivalent refraction value for patients was −3.00 ± 2.51 D (−7.60 D to +2.75 D) 1 year after surgery.ConclusionSB, especially segmental buckling, which induces less myopia and does not require buckle removal, has the potential to provide a significant positive impact in the treatment of stage 4A ROP.https://www.frontiersin.org/articles/10.3389/fmed.2022.969861/fullscleral bucklingretinopathy of prematuritystage 4Asegmentalsurgery |
| spellingShingle | Yusheng Zhong Yating Yang Hong Yin Mingwei Zhao Xiaoxin Li Xiaoxin Li Jianhong Liang Yong Cheng Evaluation of segmental scleral buckling surgery for stage 4A retinopathy of prematurity in China Frontiers in Medicine scleral buckling retinopathy of prematurity stage 4A segmental surgery |
| title | Evaluation of segmental scleral buckling surgery for stage 4A retinopathy of prematurity in China |
| title_full | Evaluation of segmental scleral buckling surgery for stage 4A retinopathy of prematurity in China |
| title_fullStr | Evaluation of segmental scleral buckling surgery for stage 4A retinopathy of prematurity in China |
| title_full_unstemmed | Evaluation of segmental scleral buckling surgery for stage 4A retinopathy of prematurity in China |
| title_short | Evaluation of segmental scleral buckling surgery for stage 4A retinopathy of prematurity in China |
| title_sort | evaluation of segmental scleral buckling surgery for stage 4a retinopathy of prematurity in china |
| topic | scleral buckling retinopathy of prematurity stage 4A segmental surgery |
| url | https://www.frontiersin.org/articles/10.3389/fmed.2022.969861/full |
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