Lens-sparing vitrectomy for stage 4 retinopathy of prematurity

Purpose: To investigate the anatomic results of lens-sparing vitrectomy for tractional stage 4 retincipathy of prematurity (ROP). Design: Retrospective, noncomparative consecutive case series. Participants: Thirty-seven eyes (24 patients) with tractional stage 4 ROP. Intervention: Lens-sparing vitrectomy. Main Outcome Measure: Anatomic status of the retina. Results: Twenty-five eyes had stage 4A ROP, and 12 eyes had stage 413 ROP. With a median follow-up of 13 months (range, 6-27), 32 of 37 eyes (86%) had complete reattachment of the retina. Among eyes with 4A ROP, 21 of 25 eyes (84%) had complete retinal reattachment. Among eyes with 413 ROP, 11 of 12 eyes (92%) had complete retinal reattachment. At last follow-up, 29 of 37 eyes (78%) were able to fix and follow. Conclusions: These results indicate that lens-sparing vitrectomy is effective for achieving retinal reattachment in tractional stage 4 ROP. Ophthalmology 2004;111:2274-2277 (C) 2004 by the American Academy of Ophthalmology.