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Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México
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2004, Number 5

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Rev Mex Oftalmol 2004; 78 (5)

Resultados del tratamiento de la retinopatía del prematuro

Santos-Espinosa E, Fuente-Torres MA
Full text How to cite this article

Language: Spanish
References: 8
Page: 215-218
PDF size: 172.54 Kb.


Key words:

Retinopathy of prematurity, photoablation, cryotheraphy.

ABSTRACT

Purpose: To evaluate the results of treatment of retinopathy of prematurity (ROP).
Method: Prospective review of premature patients from June 1999 to December 2002. Patients with the following characteristics were included: gestational age less than 32 weeks and birth weight less than 1500 gr. or birth weight less than 2000 with oxygen therapy. Patients with ROP plus stage received photoablation with laser or cryotherapy.
Results: We evaluated 108 female (67%) and 53 male (33%) patients. The mean gestational age was 31.8 weeks and the mean birth weight was 1297 gr. Initial fundoscopy was performed on the 38 day of extrauterine life. We observed: 50 patients (31.05%) without ROP; 46 (28.57%) with stage I; 39 (24.22%) stage II; 25 (15.52%) stage III and 1 (0.62%) stage IV-b. Of the 25 patients with stage III, 21 had a mean gestational age of 31.5 weeks, birth weight of 1332.42 gr. and developed to a plus stage. These patients received photoablation with laser or cryotherapy. 20 patients of 21 had a favourable outcome (95.23%) and one progressed to stage V (4.77%).
Conclusion: Photoablation with laser or cryotherapy is effective in patients with ROP.


REFERENCES

  1. Pierce E, Foley ED, Smith LE. Regulation of vascular endotelial growth by oxigen in a model retinopathy of prematurity. Arch Ophthalmol 1996; 114:1219-1228.

  2. The Stop-ROP Multicenter Study Group. Stop-ROP results suggets selective use of supplemental oxygen for prethreshold. Arch Ophthalmol 2000; 118:1121-1122.

  3. Kynsey VE, Jacobus JT, Hemphil F. Retrolental fibroplasia: cooperative study of retrolental fibroplasias and the used of oxygen. Arch Ophthalmol 1956; 56:481-457.

  4. Multicenter trial of cryotherapy for retinopathy of prematurity (CRYO-ROP) cooperative group. Manual of procedure. Sprinfield, National technical information service, US Dept. of Commerce 1985. Publication 88-163-530.

  5. The Committee for classification of retinopathy of prematurity. An international classification for the retinophaty of premetirity. Arch ophthalmol 1984; 102:1130-1134.

  6. Scott RL, Capone A Jr, Cingle KA y col. Catarat and Phthisis bulbi after laser photoablation for threshold retinopathy of prematurity. Am J Ophthalmol 2000; 129: 585-591.

  7. Dejonge MH, Ferrone PJ, Trese MT. Diode Laser ablation for threshold retinopathy of premeturity. Arch Ophthalmol 2000; 118:365-367.

  8. The laser ROP Study Group, Laser Therapy for retinopathy of prematurity [letter] Arch Ophthalmol 1994; 112:154-156.




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Rev Mex Oftalmol. 2004;78