Journal of American Association for Pediatric Ophthalmology and Strabismus
Major articleClinical outcome of confluent laser photoablation for retinopathy of prematurity☆,☆☆
Section snippets
Materials and methods
A retrospective review was performed of the records of all patients with threshold ROP who underwent laser photoablation in 1 or both eyes by a retinal surgeon or a fellow affiliated with our institution between August 1997 and July 2000. We did not retrieve the records of patients treated prior to 1997 because a new database was installed at our institution in 1997 making it impossible to access the previously used database. Patients who underwent laser treatment by a surgeon not affiliated
Results
A total of 65 patients who underwent laser treatment for threshold ROP between August 1997 and July 2000 were identified. Records of 7 patients were not available. Three patients were excluded because they received a prior laser treatment by an outside surgeon. Of the remaining 55 patients, 8 (14.5%) had missing data and were excluded. A total of 91 eyes from 47 patients were included in the study. Twenty-four patients (51.1%) were male and 23 patients (48.9%) were female. The mean gestational
Discussion
Our study evaluated the outcome of eyes with threshold ROP treated with a confluent pattern of laser photoablation. The rationale behind the confluent treatment is to completely ablate the avascular retina to prevent the progression of the disease and to limit the need for supplemental treatment.
Ninety-one eyes of 47 patients were retrospectively studied. The mean number of laser burns applied per eye was 1943 ± 912 (range, 693-4535 spots); 29% of treated eyes received more than 2000 burns. The
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Cited by (0)
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Supported in part by a departmental grant from Research to Prevent Blindness, Inc, New York, New York, and a National Institutes of Health Core Grant (P30 EY06360).
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Reprint requests: Scott R. Lambert, MD, Emory Eye Center, 1365-B Clifton Road, NE, Atlanta, GA 30322.