Surgery in ROP, when is not too late?

• Published in: Acta ophthalmologica (Oxford, England) England), 2017-09, Vol.95 (S259), p.n/a
• Main Author: Flores‐Aguilar, M.
• Format: Article
• Language: English
• Subjects: Anatomy; Blindness; Children; Rehabilitation; Retina; Retinopathy; Surgery
• ISSN: 1755-375X; 1755-3768
• DOI: 10.1111/j.1755-3768.2017.04413

Summary Retinopathy of prematurity (ROP) is the leading cause of preventable blindness in the premature newborn, when there is retinal detachment (RD) in children with ROP, even in limited detachments, the severity and extent of the RD as well as the expedited treatment are key factors to limit the resulting visual disability. The surgical treatment in children with RD due to ROP is aim to limit its extension, preserve anatomy as far as possible and facilitate visual rehabilitation. Advanced stages of ROP are poorly understood, this results in the lack of early detection of RD. Stages 4A and 4B have better prognosis if treated early, in stage 5 often the doubt exists if the anesthetic risk or the time and work necessary for the surgery are worth it since in most cases the anatomical and visual result is bad. We will analyze the types of traction leading to RD, the planning of surgery, the use of pharmacological agents, the recommended time to perform the procedure, autor's recommendations to decide the type of procedure to be performed and the follow‐up. The surgical management of the advanced stages of ROP in an early form may allow in some cases to preserve vision in eyes with retinal detachments in which the macula is still redeemable.