[Slit-lamp laser photocoagulation with a quadraspheric contact lens for the treatment of retinopathy of prematurity]. / Photocoagulation au laser avec lampe à fente et verre de contact quadrasphérique dans la rétinopathie des prématurés.
J Fr Ophtalmol
; 23(4): 361-3, 2000 Apr.
Article
em Fr
| MEDLINE
| ID: mdl-10794985
PURPOSE: To present our experience of slit-lamp laser photocoagulation with a pediatric quadraspheric contact lens for the treatment of retinopathy of prematurity (ROP). MATERIAL AND METHODS: 8 eyes of 4 premature babies with threshold ROP were consecutively treated under general anesthesia by means of blue-green argon laser photocoagulation delivered through a table mounted slit-lamp and a wide field contact lens specially designed for infants. Three of the treated eyes had a zone I disease, 2 a posterior zone II disease and 3 a zone II disease. Mean follow-up was 13 months. RESULTS: Early complete regression of the neovascular proliferations and plus disease was observed in all the treated eyes (100%) without apparent sequela. In only one eye that had zone I disease a mild and small peripheral vitreous hemorrhage was observed. Neither cataract nor posterior synechia was observed. A discrete and transient badly hypothermia occurred only in one case. COMMENTS AND CONCLUSIONS: This study shows the efficacy and precision of slit-lamp argon laser photocoagulation through a quadraspheric contact lens in ROP, with a very low rate of complications, and with a magnificent and comfortable visualization of all the structures to be treated. Each retinal burn was easily and very precisely placed from the ridge to the ora serrata in 360 with only a slight to moderate tilting of the wide field lens and without the need of scleral depression.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Retinopatia da Prematuridade
/
Fotocoagulação a Laser
/
Implante de Lente Intraocular
Limite:
Humans
/
Newborn
Idioma:
Fr
Revista:
J Fr Ophtalmol
Ano de publicação:
2000
Tipo de documento:
Article
País de afiliação:
Argentina
País de publicação:
França