To describe the indications and results of pars plana vitrectomy forrhegmatogenous retinal detachment in patients born prematurely.
Patients and Methods
Between 1995 and 2001, primary vitrectomy for retinal detachment wasperformed in a consecutive series of 11 eyes of 10 patients. Gestational ageranged from 26 to 30 weeks, and birth weight ranged from 810 g to 1475 g.
Myopia was found in 9 of 11 eyes. Two patients initially had a vitreoushemorrhage. One of these children was previously treated with cryotherapyduring the acute phase of stage 3+ retinopathy of prematurity. Three eyeshad a normal posterior pole and only mild peripheral retinal changes. Primaryvitrectomy was performed in all 11 eyes. Patients received follow-up for 7.2months to 6.6 years (mean, 2.7 years). Three eyes with severe cicatricialchanges due to retinopathy of prematurity needed multiple procedures withsilicone oil tamponade for reattachment. In 10 (90%) of 11 eyes, the retinawas completely attached at the last follow-up visit. Visual acuity rangedfrom light perception to 20/25 in the affected eye.
Patients born prematurely may develop late-onset retinal detachmentdue to vitreoretinal changes caused by retinopathy of prematurity. Primaryvitrectomy is an effective treatment technique for retinal detachment in patientsborn prematurely.