Evaluation of eyes with stage-5 retinopathy of prematurity. 1989

J G Clarkson, and S G Jacobson, and S Frazier-Byrne, and J T Flynn
Department of Ophthalmology, University of Miami School of Medicine, FL 33136.

Recent advances in vitreous microsurgical techniques described by Machemer, Charles, Hirose, Trese, de Juan, and others have resulted in successful anatomical reattachment of eyes with stage-5 retinopathy of prematurity (ROP). Such eyes had previously been classified as inoperable. Although nearly 50% of eyes achieve an anatomical reattachment of the posterior retina, from 10% to 30% of the reattached eyes reported to date have no light perception. Infants with stage-5 ROP in both eyes may be quite difficult to evaluate preoperatively, particularly with regard to visual function and the configuration of the retinal detachment. Protocols for obtaining a bright flash visually evoked potential (VEP) and standardized echography have been developed to determine the following: 1. Objective evidence of visual function in one or both eyes 2. The configuration and characteristics of the retinal detachment It is hoped that such prospective evaluation will help to identify those eyes with the best prognosis for both visual anatomical success.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D011300 Preoperative Care Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed) Care, Preoperative,Preoperative Procedure,Preoperative Procedures,Procedure, Preoperative,Procedures, Preoperative
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D012163 Retinal Detachment Separation of the inner layers of the retina (neural retina) from the pigment epithelium. Retinal detachment occurs more commonly in men than in women, in eyes with degenerative myopia, in aging and in aphakia. It may occur after an uncomplicated cataract extraction, but it is seen more often if vitreous humor has been lost during surgery. (Dorland, 27th ed; Newell, Ophthalmology: Principles and Concepts, 7th ed, p310-12). Retinal Pigment Epithelial Detachment,Detachment, Retinal,Detachments, Retinal,Retinal Detachments
D005074 Evoked Potentials, Visual The electric response evoked in the cerebral cortex by visual stimulation or stimulation of the visual pathways. Visual Evoked Response,Evoked Potential, Visual,Evoked Response, Visual,Evoked Responses, Visual,Potential, Visual Evoked,Potentials, Visual Evoked,Response, Visual Evoked,Responses, Visual Evoked,Visual Evoked Potential,Visual Evoked Potentials,Visual Evoked Responses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012178 Retinopathy of Prematurity A bilateral retinopathy occurring in premature infants treated with excessively high concentrations of oxygen, characterized by vascular dilatation, proliferation, and tortuosity, edema, and retinal detachment, with ultimate conversion of the retina into a fibrous mass that can be seen as a dense retrolental membrane. Usually growth of the eye is arrested and may result in microophthalmia, and blindness may occur. (Dorland, 27th ed) Retrolental Fibroplasia,Fibroplasia, Retrolental,Fibroplasias, Retrolental,Prematurity Retinopathies,Prematurity Retinopathy,Retrolental Fibroplasias
D014463 Ultrasonography The visualization of deep structures of the body by recording the reflections or echoes of ultrasonic pulses directed into the tissues. Use of ultrasound for imaging or diagnostic purposes employs frequencies ranging from 1.6 to 10 megahertz. Echography,Echotomography,Echotomography, Computer,Sonography, Medical,Tomography, Ultrasonic,Ultrasonic Diagnosis,Ultrasonic Imaging,Ultrasonographic Imaging,Computer Echotomography,Diagnosis, Ultrasonic,Diagnostic Ultrasound,Ultrasonic Tomography,Ultrasound Imaging,Diagnoses, Ultrasonic,Diagnostic Ultrasounds,Imaging, Ultrasonic,Imaging, Ultrasonographic,Imaging, Ultrasound,Imagings, Ultrasonographic,Imagings, Ultrasound,Medical Sonography,Ultrasonic Diagnoses,Ultrasonographic Imagings,Ultrasound, Diagnostic,Ultrasounds, Diagnostic
D014792 Visual Acuity Clarity or sharpness of OCULAR VISION or the ability of the eye to see fine details. Visual acuity depends on the functions of RETINA, neuronal transmission, and the interpretative ability of the brain. Normal visual acuity is expressed as 20/20 indicating that one can see at 20 feet what should normally be seen at that distance. Visual acuity can also be influenced by brightness, color, and contrast. Acuities, Visual,Acuity, Visual,Visual Acuities

Related Publications

J G Clarkson, and S G Jacobson, and S Frazier-Byrne, and J T Flynn
January 2015, Ophthalmic surgery, lasers & imaging retina,
J G Clarkson, and S G Jacobson, and S Frazier-Byrne, and J T Flynn
January 2010, Ophthalmic surgery, lasers & imaging : the official journal of the International Society for Imaging in the Eye,
J G Clarkson, and S G Jacobson, and S Frazier-Byrne, and J T Flynn
March 2008, Retina (Philadelphia, Pa.),
J G Clarkson, and S G Jacobson, and S Frazier-Byrne, and J T Flynn
September 2021, Current opinion in ophthalmology,
J G Clarkson, and S G Jacobson, and S Frazier-Byrne, and J T Flynn
January 1987, Archives of ophthalmology (Chicago, Ill. : 1960),
J G Clarkson, and S G Jacobson, and S Frazier-Byrne, and J T Flynn
January 2018, Taiwan journal of ophthalmology,
J G Clarkson, and S G Jacobson, and S Frazier-Byrne, and J T Flynn
July 2016, Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie,
J G Clarkson, and S G Jacobson, and S Frazier-Byrne, and J T Flynn
January 1988, Birth defects original article series,
J G Clarkson, and S G Jacobson, and S Frazier-Byrne, and J T Flynn
April 2003, Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie,
J G Clarkson, and S G Jacobson, and S Frazier-Byrne, and J T Flynn
September 2006, Retina (Philadelphia, Pa.),
Copied contents to your clipboard!