Posterior laser barrage in advancing retinopathy of prematurity: A prospective randomized study

Purpose: To compare the outcomes of conventional laser photocoagulation versus additional posterior barrage laser in advanced stage 3 retinopathy of prematurity (ROP). Methods: A total of 20 infants with bilateral symmetric zone 2 stage 3 advancing ROP were treated with conventional laser treatment...

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Main Authors: Ruchir Tewari, Parijat Chandra, Ramesh Agarwal, Rajvardhan Azad
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2019-01-01
Series:Indian Journal of Ophthalmology
Subjects:
Online Access:http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=6;spage=866;epage=870;aulast=Tewari
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author Ruchir Tewari
Parijat Chandra
Ramesh Agarwal
Rajvardhan Azad
author_facet Ruchir Tewari
Parijat Chandra
Ramesh Agarwal
Rajvardhan Azad
author_sort Ruchir Tewari
collection DOAJ
description Purpose: To compare the outcomes of conventional laser photocoagulation versus additional posterior barrage laser in advanced stage 3 retinopathy of prematurity (ROP). Methods: A total of 20 infants with bilateral symmetric zone 2 stage 3 advancing ROP were treated with conventional laser treatment followed by randomization of one eye to receive additional posterior retinal laser treatment. Disc–fovea and inter-arcade distance was measured. The patients were followed up prospectively for 3 months. Structural and functional outcomes and safety profile were analyzed. Results: 18/20 (90%) eyes in the study group and 19/20 (95%) eyes in the control group achieved regression of disease. Faster and complete regression was observed at 4 weeks after posterior laser compared to the control group (P = 0.024). Disc–fovea and inter-arcade distance was comparable in both groups. Conclusion: Additional posterior barrage laser is a safe technique that led to faster and more complete regression in eyes with advancing ROP. Final regression profile was comparable in both treatment modalities.
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spelling doaj.art-cd6bf45db2a64774af65a773b1ead4fe2022-12-22T00:48:05ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892019-01-0167686687010.4103/ijo.IJO_1608_18Posterior laser barrage in advancing retinopathy of prematurity: A prospective randomized studyRuchir TewariParijat ChandraRamesh AgarwalRajvardhan AzadPurpose: To compare the outcomes of conventional laser photocoagulation versus additional posterior barrage laser in advanced stage 3 retinopathy of prematurity (ROP). Methods: A total of 20 infants with bilateral symmetric zone 2 stage 3 advancing ROP were treated with conventional laser treatment followed by randomization of one eye to receive additional posterior retinal laser treatment. Disc–fovea and inter-arcade distance was measured. The patients were followed up prospectively for 3 months. Structural and functional outcomes and safety profile were analyzed. Results: 18/20 (90%) eyes in the study group and 19/20 (95%) eyes in the control group achieved regression of disease. Faster and complete regression was observed at 4 weeks after posterior laser compared to the control group (P = 0.024). Disc–fovea and inter-arcade distance was comparable in both groups. Conclusion: Additional posterior barrage laser is a safe technique that led to faster and more complete regression in eyes with advancing ROP. Final regression profile was comparable in both treatment modalities.http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=6;spage=866;epage=870;aulast=TewariLaser barragelaser treatmentretinopathy of prematurity
spellingShingle Ruchir Tewari
Parijat Chandra
Ramesh Agarwal
Rajvardhan Azad
Posterior laser barrage in advancing retinopathy of prematurity: A prospective randomized study
Indian Journal of Ophthalmology
Laser barrage
laser treatment
retinopathy of prematurity
title Posterior laser barrage in advancing retinopathy of prematurity: A prospective randomized study
title_full Posterior laser barrage in advancing retinopathy of prematurity: A prospective randomized study
title_fullStr Posterior laser barrage in advancing retinopathy of prematurity: A prospective randomized study
title_full_unstemmed Posterior laser barrage in advancing retinopathy of prematurity: A prospective randomized study
title_short Posterior laser barrage in advancing retinopathy of prematurity: A prospective randomized study
title_sort posterior laser barrage in advancing retinopathy of prematurity a prospective randomized study
topic Laser barrage
laser treatment
retinopathy of prematurity
url http://www.ijo.in/article.asp?issn=0301-4738;year=2019;volume=67;issue=6;spage=866;epage=870;aulast=Tewari
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AT parijatchandra posteriorlaserbarrageinadvancingretinopathyofprematurityaprospectiverandomizedstudy
AT rameshagarwal posteriorlaserbarrageinadvancingretinopathyofprematurityaprospectiverandomizedstudy
AT rajvardhanazad posteriorlaserbarrageinadvancingretinopathyofprematurityaprospectiverandomizedstudy