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Spontaneous Retinal Reattachment in Stage 5 Retinopathy of Prematurity

Spontaneous Retinal Reattachment in Stage 5 Retinopathy of Prematurity Abstract Despite the recently demonstrated efficacy of cryotherapy in retinopathy of prematurity (ROP), a number of these eyes still progress to retinal detachment. The prognosis for retinal reattachment is guarded at best.1,2 Spontaneous retinal reattachment has been described in peripheral detachments (stage 4A),3 but no report exists, to our knowledge, describing total spontaneous reattachment in stage 5 ROP. In a recent study, six eyes within a larger series of unoperated eyes with stage 5 ROP developed some degree of spontaneous reattachment.2 No details of the retinal configuration were provided, however, and none of the eyes was reported to have retained any level of visual acuity. We recently observed a patient with stage 5 ROP who developed total spontaneous reattachment with preservation of some visual acuity. Report of a Case. —Our patient was a 539-g black boy born at an estimated gestational age (EGA) of 24 weeks. He was References 1. Zilis JD, de Juan E, Machemer R. Advanced retinopathy of prematurity: the anatomic and visual results of vitreous surgery . Ophthalmology . 1990;97:821-826.Crossref 2. Quinn GE, Dobson V, Barr CC, et al. Visual acuity in infants after vitrectomy for severe retinopathy of prematurity . Ophthalmology . 1991;98:5-13.Crossref 3. Flynn JT, Bancalari E, Bachynski BN, et al. Retinopathy of prematurity: diagnosis, severity, and natural history . Ophthalmology . 1987;94:620-629.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Spontaneous Retinal Reattachment in Stage 5 Retinopathy of Prematurity

Archives of Ophthalmology , Volume 110 (4) – Apr 1, 1992

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Publisher
American Medical Association
Copyright
Copyright © 1992 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1992.01080160031014
Publisher site
See Article on Publisher Site

Abstract

Abstract Despite the recently demonstrated efficacy of cryotherapy in retinopathy of prematurity (ROP), a number of these eyes still progress to retinal detachment. The prognosis for retinal reattachment is guarded at best.1,2 Spontaneous retinal reattachment has been described in peripheral detachments (stage 4A),3 but no report exists, to our knowledge, describing total spontaneous reattachment in stage 5 ROP. In a recent study, six eyes within a larger series of unoperated eyes with stage 5 ROP developed some degree of spontaneous reattachment.2 No details of the retinal configuration were provided, however, and none of the eyes was reported to have retained any level of visual acuity. We recently observed a patient with stage 5 ROP who developed total spontaneous reattachment with preservation of some visual acuity. Report of a Case. —Our patient was a 539-g black boy born at an estimated gestational age (EGA) of 24 weeks. He was References 1. Zilis JD, de Juan E, Machemer R. Advanced retinopathy of prematurity: the anatomic and visual results of vitreous surgery . Ophthalmology . 1990;97:821-826.Crossref 2. Quinn GE, Dobson V, Barr CC, et al. Visual acuity in infants after vitrectomy for severe retinopathy of prematurity . Ophthalmology . 1991;98:5-13.Crossref 3. Flynn JT, Bancalari E, Bachynski BN, et al. Retinopathy of prematurity: diagnosis, severity, and natural history . Ophthalmology . 1987;94:620-629.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Apr 1, 1992

References