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Retinopathy of prematurity in practice. II: long-term results following treatment for threshold disease

Lookup NU author(s): David Cottrell

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Abstract

Objective To determine the long-term outcome of treatment for threshold retinopathy of prematurity (ROP) in one UK unit. Methods A total of 35 infants diagnosed with threshold ROP were treated by a single ophthalmologist (DGC) between 1987 and 1998. The parents of the 29 surviving patients were contacted; 21 brought their child for special review of acuity, motility, refraction and fundoscopy (Group 1). Of the eight patients who were unable to attend, six patients (Group 2) had sufficient follow-up detail in their records to be included in the study. Results A total of 40 eyes in the 21 patients in Group 1 had been treated; 10 had received cryotherapy (eight bilateral) and 11 had bilateral laser. Mean follow-up was 5 years (range 2-12 years). A total of 23 treated eyes (in 16 patients) had an acuity of 6/12+ (57.5% of treated eyes). Four eyes of three patients had no light perception. Seven eyes in four patients had myopia of more than 3 D. Eight patients had a manifest squint: six esotropia, two exotropia. The retinal status of 36 eyes (90%) showed a favourable outcome. The four blind eyes had stage 5 disease. In Group 2, four eyes of two patients (33%) had 6/12+ acuity recorded; five eyes in three patients had stage 5 disease and no perception of light. In total, a favourable structural outcome was achieved in 81.4% and favourable functional outcome observed in 74.6%. Conclusion These results show that the favourable outcomes reported in the CRYO-ROP trial can be achieved in routine practice and maintained after long follow-up.

Publication metadata

Author(s): Gnanaraj L, Brennan R, Cottrell DG

Publication type: Article

Publication status: Published

Journal: Eye

Year: 2003

Volume: 17

Issue: 2

Pages: 189-193

ISSN (print): 0950-222X

ISSN (electronic): 1476-5454

Publisher: Nature Publishing Group

URL: http://dx.doi.org/10.1038/sj.eye.6700295

DOI: 10.1038/sj.eye.6700295

Notes: Presented in part as a poster at the Royal College of Ophthalmologists Congress, Birmingham, UK, May 2001 and as a poster at the European Strabismological Association 27th Annual Meeting, Florence, Italy, June 2001.

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