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Vitreous and Retinopathy of Prematurity: Vitreous Surgery and Visual Results

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Retinopathy of Prematurity

Abstract

Retinopathy of prematurity (ROP) is a unique retinal vascular disease because it appears during the development of the normal retinal vasculature and vitreous. It has been suggested that the avascular peripheral retina produces a vasoproliferative factor, which then affects tissue posterior to the retinal ridge (at the juncture of avascular and vascularized retina). This vasoproliferative factor then stimulates neovascularization only in that location. We were curious as to why neovascularization is seen only in the area posterior to the ridge and is not seen at the optic nerve head or in areas anterior yet adjacent to the ridge. We have examined enucleated human eyes at autopsy, as well as animal eyes derived from the Ashton kitten model of ROP, and found that the vitreous is intimately attached to the neurosensory retina posterior to the retinal ridge. Anterior to the retinal ridge, this attachment does not seem to be as strong, as seen by either morphologic or immunohistochemical techniques.

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References

  1. Machemer R. Description and pathogenesis of late stages of retinopathy of prematurity. Ophthalmology 1985; 92: 1000–1004.

    PubMed  CAS  Google Scholar 

  2. Hartzer W. Trese MT, et al. ARVO 1988.

    Google Scholar 

  3. Garfinkel RA, Trese MT. Spontaneous resolution of retinal detachment in retinopathy of prematurity. Am J Ophthalmol Submitted for publication.

    Google Scholar 

  4. Charles S. Vitreous surgery for retinopathy of prematurity (ROP) In: Syllabus: Retinopathy of Prematurity Conference, Washington, DC, 1981: 858–863.

    Google Scholar 

  5. Machemer R. Closed vitrectomy for severe retrolental fibroplasia in the infant. Ophthalmology 1983; 90: 436–441.

    PubMed  CAS  Google Scholar 

  6. De Juan E Jr, Machemer R. Retinopathy of prematurity surgical techniques. Retina 1987; 7 (2): 63–69.

    Article  Google Scholar 

  7. Trese MT. Two-hand dissection technique during closed vitrectomy for retinopathy of prematurity. Am J Ophthalmol 1986; 101: 251–252.

    PubMed  CAS  Google Scholar 

  8. Trese MT. Surgical results of stage 5 retrolental fibroplasia and timing of surgery. Ophthalmology 1984; 91: 461–466.

    PubMed  CAS  Google Scholar 

  9. Mayer DL, Trese MT. Visual function evaluation of patients with retinopathy of prematurity noninvasive assessment of the visual system. Presented to the Optical Society of America Topical Meeting, Lake Tahoe, 1990.

    Google Scholar 

  10. Cryotherapy for Retinopathy of Prematurity Cooperative Group. Multicenter trial of cryotherapy for retinopathy of prematurity Arch Ophthalmol 1988; 106: 471–479.

    Google Scholar 

  11. Teller DY, et al. Dev Med Child Neurol 1986; 28: 779–789.

    Article  PubMed  CAS  Google Scholar 

  12. Birch EE, Spencer R. Invest Ophthalmol 1989; 30 (suppl): 318.

    Google Scholar 

  13. Dobson V. et al. Submitted for publication.

    Google Scholar 

  14. Chong LP, et al. Am J Ophthalmol 1986; 102: 710–716.

    PubMed  CAS  Google Scholar 

  15. Patz A. Ophthalmology 1983; 90: 425–427.

    PubMed  CAS  Google Scholar 

  16. Droste PJ, Invest Ophthalmol 1987; 28 (suppl) 154.

    Google Scholar 

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© 1992 Springer-Verlag New York Inc.

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Trese, M.T., Hartzer, M., Lin, LR., Mayer, L., Regan, V., Manatrey, P. (1992). Vitreous and Retinopathy of Prematurity: Vitreous Surgery and Visual Results. In: Flynn, J.T., Tasman, W. (eds) Retinopathy of Prematurity. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2808-0_9

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  • DOI: https://doi.org/10.1007/978-1-4612-2808-0_9

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7679-1

  • Online ISBN: 978-1-4612-2808-0

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