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Journals / Türk Pediatri Arşivi / 2012 / Cilt: 47 - Sayı: 4

Outcomes of diode laser photocoagulation for zone 1 retinopathy of prematurity

Zon 1 prematürite retinopatisi olan hastaların diod lazer fotokoagülasyon ile tedavi sonuçları

Didar UÇAR
Sema ARVAS
Solmaz AKAR
Ahmet SARICI
Pages
253–256
Publication Date
2022-11-05
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Updating perinatal care could provide a decrease in the incidence of ROP in premature newborns with a higher birth weight.

📌 3 Key Takeaways

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Objective & Hypothesis:Aim: To report outcomes of diode laser photocoagulation for zone 1 retinopathy of prematurity (ROP) in a tertiary university clinic.
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Key Findings & Data:Material and Method: The records of 452 eyes of 257 preterm infants who were seen in retina division of Department of Ophthalmology, Cerrahpasa Faculty of Medicine between June 2007 and December 2010 and subsequently were diagnosed as zone 1 prethreshold ROP based on early treatment (The Early Treatment for Retinopathy of Prematurity Study = ETROP) criteria and treated with diode laser photocoagulation in accordance with ETROP criteria for ROP were reviewed retrospectively.
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Conclusion & Impact:Updating perinatal care could provide a decrease in the incidence of ROP in premature newborns with a higher birth weight.
🔬Design:Review & Systematic Survey
📍Scope:2007 Verileri
⚙️Variables:Domain Parameters

Abstract

Aim: To report outcomes of diode laser photocoagulation for zone 1 retinopathy of prematurity (ROP) in a tertiary university clinic. Material and Method: The records of 452 eyes of 257 preterm infants who were seen in retina division of Department of Ophthalmology, Cerrahpasa Faculty of Medicine between June 2007 and December 2010 and subsequently were diagnosed as zone 1 prethreshold ROP based on early treatment (The Early Treatment for Retinopathy of Prematurity Study = ETROP) criteria and treated with diode laser photocoagulation in accordance with ETROP criteria for ROP were reviewed retrospectively. Anatomic and structural success (regression of ROP and attached macula) were evaluated separately for zone 1 posterior (group A) and anterior (group B). Results: In group A the mean birth weight was 1120.2 g (range 490-2500 g) and the mean gestational age was 28.2 weeks (range 22-35 wks). In group B, the mean birth weight was 1128.9 g (560-1930 g) and the mean gestational age was 28.4 weeks (24-34). A success rate of 98.15% and 98.65% was achieved for group A and B, respectively. Conclusions: Zone 1 ROP group includes patients with a high risk. Diode laser photocoagulation in prethreshold stage is effective and safe for the treatment of zone 1 ROP. Updating perinatal care could provide a decrease in the incidence of ROP in premature newborns with a higher birth weight.

Özet

Amaç: Üçüncü basamak sağlık hizmeti veren üniversite hastanesi kliniğimizde Zon 1 prematürite retinopatisi olan hastaların diod lazer fotokoagülasyon (DLF) ile tedavi sonuçlarını bildirmek. Gereç ve Yöntem: Cerrahpaşa Tıp Fakültesi Retina Biriminde Haziran 2007 ile Aralık 2010 tarihleri arasında prematürite retinopatisi için erken tedavi (The Early Treatment for Retinopathy of Prematurity Study = ETROP) ölçütlerine göre eşik öncesi zon 1 tanısı alarak ve yine ETROP ölçütlerine uygun olarak diod lazer fotokoagülasyon uygulanmış 257 yeni doğanın 452 gözüne ait veri dosyaları geriye dönük olarak incelendi. Anatomik ve yapısal başarı (prematürite retinopatisinin gerilemesi ve makulanın yatışık olması) arka zon 1 (grup A) ve ön zon 1 (grup B ) için ayrı ayrı değerlendirildi. Bulgular: Grup Ada ortalama doğum ağırlığı 1120,2 g (aralık 490-2500 g) olup, ortalama doğum haftası ise 28,2 hafta (aralık 22-35 hafta) idi. Grup Bde ise ortalama doğum ağırlığı 1128,9 g (560-1930) ve ortalama doğum haftası 28,4 hafta (24-34) idi. Arka zon 1 hastalarda %98,15, ön zon 1 hastalarda ise % 98,65 başarı elde edildi. Çıkarımlar: Zon 1 prematürite retinopatisi yüksek riskli hastaları kapsar. Bu hastalığın eşik öncesi dönemde diod lazer ile tedavisi etkin ve güvenli bir tedavidir. Ülkemizde yüksek doğum ağırlıklı erken doğmuş bebeklerde zon 1 prematüre retinopatisinin görülmesi perinatal bakım hizmetlerinin yeniden gözden geçirilmesi ile azaltılabilir

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Cite This Article

UÇAR, D., ARVAS, S., AKAR, S., SARICI, A. (2022). Outcomes of diode laser photocoagulation for zone 1 retinopathy of prematurity. Türk Pediatri Arşivi, Cilt: 47 - Sayı: 4, 253–256. https://ajindex.com/articles/641372

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