[Retinopathy of prematurity--functional and structural outcome in children treated with diode laser photocoagulation].

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  • Additional Information
    • Transliterated Title:
      Retinopatija prematuriteta--funkcionalni i strukturni ishod u djece lijecene laserskom fotokoagulacijom.
    • Source:
      Publisher: Croatian Academy Of Medical Sciences Country of Publication: Croatia NLM ID: 9208249 Publication Model: Print Cited Medium: Print ISSN: 1330-0164 (Print) Linking ISSN: 13300164 NLM ISO Abbreviation: Acta Med Croatica Subsets: MEDLINE
    • Publication Information:
      Publication: Zagreb : Croatian Academy Of Medical Sciences
      Original Publication: Zagreb : Hrvatska akademija medicinskih znanosti, [1991-
    • Subject Terms:
      Laser Coagulation*/adverse effects; Retinopathy of Prematurity/*surgery; Female ; Humans ; Infant, Newborn ; Infant, Premature ; Male ; Postoperative Complications ; Retinopathy of Prematurity/diagnosis
    • Abstract:
      Aim: To present the long-term structural and functional outcome of children treated with diode laser for retinopathy of prematurity.
      Patients and Methods: A total of six premature babies (12 eyes) in whom diode laser treatment was performed for acute retinopathy were followed up. The mean birth weight was 1185.0 +/- 309.6 g and mean gestational age was 28.5 +/- 1.87 weeks. Long term follow-up (18 to 41 months) included retinal examination, refractive status of the eye, and orthoptic evaluation: strabismus, amblyopia and nystagmus assessment.
      Results: Unfavorable structural outcome was detected in five eyes of six children (5/12 eyes, 41.7%). If only the eyes in no higher than threshold stage (3+) according to surgery records were taken in consideration (6/12 eyes), therapy resulted in favorable structural outcome in all six (100%) eyes. The mean spherical equivalent refractive error was -2.27 +/- 2.03 D (range -6.0 to +0.50 D). Profound amblyopia of one eye was found in five of six study children, and was invariably accompanied by heterotropia of the amblyopic eye: deviation in eso direction in three cases, and exodeviation and hypertropia in one case each. Nystagmus was present in four of six (66.6%) patients. All six children used vision as a dominant sense in space orientation and communication.
      Conclusion: Diode laser therapy is a successful method in stopping and reversing the clinical course of severe retinopathy of prematurity, however only if timely implemented. The availability of this treatment modality in Croatia would significantly improve the structural and functional outcome of children with retinopathy.
    • Publication Date:
      Date Created: 20060720 Date Completed: 20060912 Latest Revision: 20091109
    • Publication Date:
      20250114
    • Accession Number:
      16848210