电邮这篇文章 GLAUCOMA IN THE CHILDREN PRESENTING WITH STAGES IV AND V OF RETINOPATHY OF PREMATURITY: THE PECULIAR FEATURES OF THE TREATMENT AND OUTCOMES
- 作者: Konikova O.A.1,2, Diskalenko O.V1, Gaydar M.V1, Brzheskiy V.V2
-
隶属关系:
- Leningrad Regional Children’s Clinical Hospital
- Saint-Petersburg State Pediatric Medical University, Russian Ministry of Health
- 期: 卷 12, 编号 3 (2017)
- 页面: 122-127
- 栏目: Articles
- URL: https://bakhtiniada.ru/1993-1859/article/view/39528
- DOI: https://doi.org/10.18821/1993-1859-2017-12-3-122-127
- ID: 39528
如何引用文章
全文:
详细
Purpose. The objective of the present work was to study the specific features and the effectiveness of the management of glaucoma in the children presenting with stages IV and V of retinopathy of prematurity after vitreoretinal surgical treatment of retinal detachment. Material and Methods. A total of 172 patients (299 eyes) with stages IVa, IVb, and V of retinopathy of prematurity were involved in the prospective cohort study after they had undergone the vitreoretinal surgical intervention for the treatment of retinal detachment. The duration of the follow-up period was 5 years. The treatment of glaucoma included cyclophotocoagulation and the implantation of the Ahmed glaucoma valve drainage. Results. In the early postoperative period, the anatomical success of the surgical treatment of retinal detachment at stages IVa and IVb of the retinopathy of prematurity was estimated at 95,3% and 97,1% respectively; the frequency of smoothing out of the retina associated with the formation of the retinal reattachment zones at stage V of the disease amounted to 63.6%. The frequency of the development of glaucoma was estimated to be 24,0% at stage IVa, 18,3% at stage IVb, and 9,2% at stage V. The clinical manifestations of glaucoma developing at stage IVa retinopathy of prematurity were especially well apparent in the patients with the congenital disease. The secondary neovascular glaucoma without buphthalmos was usually associated with stages IVb and V of retinopathy of prematurity. The effectiveness of cyclophotocoagulation efficacy was estimated to be 36,4% at stage IVa compared with 50,0% and 57,3% at stages IVb and V respectively. The implantation of the Ahmed glaucoma valve drainage proved efficient in 9 out of the 10 cases; still 77.8% of the patients needed a repeated revision for the evaluation of the state of the Ahmed valve drainage. The study has demonstrated that the overall success of the glaucoma treatment in the children presenting with stages IVa retinopathy of prematurity was 100% compared with 3.5% and 33.3% in those with stages IVb and V of the disease respectively. Conclusion. The glaucoma developing in the children with stages IV and V of retinopathy of prematurity is a refractory neovascular condition especially if it is associated with stages IVb and V of the primary disease.
作者简介
Ol’ga Konikova
Leningrad Regional Children’s Clinical Hospital; Saint-Petersburg State Pediatric Medical University, Russian Ministry of Health
Email: olgakonikova@gmail.com
ophthalmologist for the Department of Eye Microsurgery, Leningrad Regional Children’s Clinical Hospital; assistant for the Department of Ophthalmology, Saint-Petersburg State Pediatric Medical University, Russian Ministry of Health, Saint-Petersburg, 194100, Russian Federation. Saint-Petersburg, 195009, Russian Federation; Saint-Petersburg, 194100, Russian Federation
O. Diskalenko
Leningrad Regional Children’s Clinical HospitalSaint-Petersburg, 195009, Russian Federation
M. Gaydar
Leningrad Regional Children’s Clinical HospitalSaint-Petersburg, 195009, Russian Federation
V. Brzheskiy
Saint-Petersburg State Pediatric Medical University, Russian Ministry of HealthSaint-Petersburg, 194100, Russian Federation
参考
- Зерцалова М.А., Бржеский В.В., Особенности течения глаукомы у детей с ретинопатией недоношенных. РМЖ «Клиническая офтальмология». 2007; 4(2): 139.
- Панчишена В.М., Ершова Р.В., Соколов В.О. Врожденная глаукома у детей с ретинопатией недоношенных. В кн. Современные проблемы детской офтальмологии: материалы юбилейной научной конференции, посвященной 70-летию основания первой в России кафедры детской офтальмологии. СПб; 2005: 165-6.
- Bremer D.L., Rogers D.L., Good W.V. et al. Glaucoma in the Early Treatment for retinopathy of prematurity (ETROP) study. J. AAPOS. 2012;16(5):449-52. doi: 10.1016/j.jaapos.2012.06.011.
- Iwahashi-Shima C., Miki A., Hamasaki T. et al. Intraocular pressure elevation is a delayed-onset complication after successful vitrectomy for stages 4 and 5 retinopathy of prematurity. Retina. 2012;32(8):1636-42. doi: 10.1097/IAE.0b013e3182551c54.
- Choi J., Kim J.H., Kim S.J., Yu Y.S. Long-term results of lens-sparing vitrectomy for stages 4B and 5 retinopathy of prematurity. Korean J. Ophthalmol. 2011; 25(5): 305-10. doi: 10.3341/kjo.2011.25.5.305.
- Аксенова И.И. Особенности глаз недоношенных детей. Российская детская офтальмология. 2013; (1): 17-21.
- Зерцалова М.А., Бржеский В.В., Дискаленко О.В., Гайдар М.В. Особенности клинического течения глаукомы у детей, родившихся на разных сроках гестации. Клиническая офтальмология. 2011; 12 (2): 53-5.
- Сидоренко Е.И., Бондарь Н.О. Гистологические исследования дренажной зоны глаза недоношенного ребенка. Рос. педиатр. офтальмол. 2007; (4): 42-4.
- Коголева Л.В., Катаргина Л.А. Патогенетические механизмы глаукомы у детей с ретинопатией недоношенных. В кн.: Актуальные проблемы детской офтальмохирургии: Материалы научно - практической конференции. М; 2002: 77-80.
- Коротких С.А., Степанова Е.А., Визнер Е.Н. Анализ клинических проявлений глаукомы у детей с ретинопатией недоношенных. В кн.: Актуальные вопросы детской офтальмологии и ретинопатии недоношенных. Екатеринбург; 2004: 62-4.
- Скрипец П.П., Махмутов В.Ю. Имплантация антиглаукоматозных заднекамерных дренажных клапанов Ahmed при вторичной глаукоме у детей после витреоретинальных операций. Российская детская офтальмология. 2012; (4): 14-7.
- Зерцалова М.А., Бржеский В.В., Дискаленко О.В., Гайдар М.В. Характерные особенности развития и клинического течения первичной врожденной глаукомы у детей раннего возраста. Педиатр. 2013; (2): 18-23.
- Катаргина Л.А., Слепова О.С., Белова М.В., Андрюшин А.Е. Значение нарушений цитокинового статуса в патогенезе поздних витреоретинальных осложнений ретинопатии недоношенных. Рос. педиатр. офтальмол. 2012; (2): 14-7.
补充文件
