Lens-sparing vitreous surgery for tractional stage 4A retinopathy of prematurity retinal detachments

Purpose. To assess the efficacy of lens-sparing vitrectomy in tractional 4A retinopathy of prematurity (ROP): retinal detachments in reducing progression, to stage 4B or 5 ROP. Design: Retrospective, noncomparative consecutive case series. Participants., Forty eyes (31 patients) with stage 4A ROP at 38 to 42 weeks post-conceptional age. Intervention., Lens-sparing vitrectomy. Main Outcome Measures. Retinal attachment status and presence/absence of fixation behavior. Results. The range of follow-up was 6 to 22 months (mean, 12 months). Ninety percent (36 of 40) of eyes showed retinal reattachment and fixation behavior at their last follow-up visit. Conclusions: These results suggest that vitreous surgery can interrupt progression of ROR from stage 4A to stages 4B or 5. Ophthalmology 2001; 108.2068-2070 (C) 2001 by the American Academy of Ophthalmology.