Early diagnosis and management of aggressive posterior vitreoretinopathy presenting in premature neonates Academic Article Article uri icon

Overview

MeSH Major

  • Keratomileusis, Laser In Situ
  • Psychotic Disorders

abstract

  • © 2019 Slack Incorporated. All rights reserved. BACKGROUND AND OBJECTIVE: Aggressive posterior vitreoretinopathy (APVR) manifests with a broad area of retinal avascularity, progressive neovascularization, and/or tractional retinal detachment during the neonatal period. PATIENTS AND METHODS: A multicenter, retrospective, observational, consecutive case series study was performed to evaluate the retinal findings and structural retinal outcomes in patients treated for APVR within the first 3 months of life. RESULTS: Three premature neonates with a non-retinopathy of prematurity (ROP) APVR identified during routine ROP screening exams exhibited relatively severe, rapidly progressive retinal vascular abnormalities. Immediate laser photocoagulation of the avascular retina and vitrectomy for traction retinal detachment within several days to weeks improved or stabilized the retinal anatomy in all cases. CONCLUSIONS: This series describes clinical features in APVR in premature infants and suggests that early diagnosis and intervention may mitigate the typical aggressive course and poor prognosis of this condition.

publication date

  • January 2019

Research

keywords

  • Academic Article

Identity

Digital Object Identifier (DOI)

  • 10.3928/23258160-20190401-01

PubMed ID

  • 30998240

Additional Document Info

start page

  • 201

end page

  • 207

volume

  • 50

number

  • 4