Results of treatment of retinopathy of prematurity with laser therapy at Children`s Eye Department of the University Hospital `Aleksandrovska`

V. Chernodrinska; O. Mladenov

doi:10.14748/bro.v0i4.4560

Results of treatment of retinopathy of prematurity with laser therapy at Children`s Eye Department of the University Hospital `Aleksandrovska`

V. Chernodrinska, O. Mladenov

Abstract

Introduction: Retinopathy of prematurity (ROP) is seriously threatening eye condition that occurs in premature infants. The main treatment for this disease is the indirect diode laser photocoagulation.

Objective: To present the results of the treatment of children with threshold and type 1 prethreshold retinopathy of prematurity, treated with indirect diode laser photocoagulation at The Department of Ophthalmology of the University Hospital `Aleksandrovska` for the period of June 2011 - December 2015.

Material and Methods: In the present study we included 99 eyes of 53 infants (32 boys and 21 girls) treated
with indirect diode laser photocoagulation (810 nm) at The Department of Ophthalmology of the University Hospital `Aleksandrovska`. Children are diagnosed and monitored with digital fundus camera (RetCam).

Results: The average gestational age at birth of treated children was 27.06 weeks. 34 children (64.15%) had birth weight <1000 g., and 19 children (35.85%) had birth weight of 1000 to 1770 g. Excellent anatomical results were achieved in 81 eyes (81.82%). In 18 eyes (18.18%) was observed disease progression: 2 eyes with IVA gr.; 1 eye with IVB gr.; 3 eyes with V gr.; and 12 eyes with cicatricial retinopathy of prematurity.

Conclusion: Indirect diode laser photocoagulation is a safe and effective method to treat threshold and type 1 prethreshold retinopathy of prematurity.

Keywords

Indirect diode laser photocoagulation; Retinopathy of prematurity; premature infants; treatment

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DOI: http://dx.doi.org/10.14748/bro.v0i4.4560