Transconjunctival, sutureless 25-gauge lens sparing vitrectomy for stage 4 retinopathy of prematurity-related retinal detachments.

摘要

Over the past decade, the trend in the surgical management of retinopathy of prematurity (ROP)-related detachments has evolved to favor primary vitrectomy. Recent literature suggests that primary lens sparing vitrectomy can attain a higher success rate than a scleral buckling procedure alone in children with Stage 4 ROP. Further, recent evidence suggests that there is no additional benefit to performing a combination primary vitrecomy and scleral buckle versus vitrectomy alone. Additional advantages of vitrectomy include less axial change, less distortion of the extraocular muscle vectors, and no need for a subsequent surgery to section or remove the buckle element.