• 作者：A. Galvá ; n Ledesma ; ^{antoniogalvanledesma@hotmail.com} ; C. Morales Guillé ; n ; M.T. Pastor Ramos ; M. del Carmen Vá ; zquez Marouschek
• 关键词：Retinopatí ; a del prematuro ; Fotocoagulaci&oacute ; n retiniana ; Lá ; ser de diodo
• 刊名：Archivos de la Sociedad Espa帽ola de Oftalmolog铆a
• 出版年：2011
• 期刊代码：pca66_03656691
• 类别：med
• 出版时间：November 2011
• 卷：86
• 期：11
• 页码：368-373
• 文件大小：129 K

Objective

To describe diode laser photocoagulation results in retinopathy of prematurity (ROP) in our hospital.

Material and method

Retrospective cross-sectional study based on clinical histories of the premature infants treated during the period from 2004 to 2008.

Results

In the treated group we found a predominance of pre-threshold retinopathy versus threshold retinopathy (84.35%vs 15.65%). The anatomic results were good in 96.5%of 147 eyes. None of the treated eyes in pre-threshold stage showed a poor result. Nine months after treatment, 84.85%of 132 eyes showed good functional results. A poor visual response was associated in most of the cases with neurological diseases. Infants with intraventricular haemorrhages had the worst anatomical and functional results. Strabismus (23.5%) and nystagmus (10.3%) rates were high, probably due to the increased prevalence of neurological diseases. The mortality rate in treated children was 7.3%.

Conclusions

Diode laser photocoagulation in ROP offers very good anatomical results when performed at the appropriate time. Nevertheless, prematurity is still a very important cause of visual dysfunction in infancy due to the associated neurological disturbances.