Late Retinal Detachments in Retinopathy of Prematurity.
More than half of late retinal detachments in retinopathy of prematurity are macula-off.
Late Retinal Detachments in Retinopathy of Prematurity.
This study aimed to investigate the presenting characteristics and outcomes of ROP patients with late retinal detachment (retinal detachment).
This study aimed to investigate the presenting characteristics and outcomes of ROP patients with late retinal detachment (retinal detachment).
A retrospective chart review was performed for patients with ROP who presented with a late retinal detachment, occurring at least 2 years after initial ROP diagnosis.
The median birth weight was 851.5 g and median gestational age at birth was 26.5 weeks.
The median age at presentation for retinal detachment was 19 years.
Fifty percent of patients had a rhegmatogenous retinal detachment, 35.3% had tractional retinal detachment, and 14.7% had combined rhegmatogenous and tractional retinal detachment.
The median logMAR vision was 1.8 at presentation and 1.18 at final follow-up.
Late RDs can develop in the setting of ROP and usually occur in young adulthood. More than one half of patients were found asymptomatically on routine examination and had macula-off retinal detachment.
Many required complex surgery with silicone oil. Long-term follow-up for ROP patients may be indicated to monitor for progressive traction and retinal breaks.