EPOS
European Paediatric Ophthalmological Society
Abstract Preview
Slitlamp-Delivered Laser Photocoagulation Of ROP
De Veuster Ilse1, Smets R.M.E.11University Hospital Antwerp, Edegem, Belgium
Introduction:To retrospectively study the outcome after slitlamp-delivered laser photocoagulation for threshold ROP using general anesthesia and topical anesthesia with sedation. Methods:Review of the medical records of premature infants consecutively treated for ROP using slitlamp-delivered 532 nm laser photocoagulation and a contact lens between August 2001 and October 2007. Results:In 40 eyes of 20 premature babies zone II threshold ROP was treated. Ten babies were treated under general anesthesia; the last 10 infants were treated under topical anesthesia and sedation. Because of disease progression 2 infants received bilateral supplemental treatment. ROP regressed in all eyes. Postoperative recovery was less eventful when treatment was performed under topical anesthesia compared to general anesthesia (need for increased respiratory support, analgesia, time to regain full enteral nutrition). Twelve infants were followed for 40 months (11 - 61 months). Mean refraction (spherical equivalent) was -1,04 D. Astigmatism of 2 D or more was present in 4 eyes (mean 2,4D). At the last examination (mean age 49 months) a mean visual acuity of 0.3 (log MAR, LEA symbols) was recorded (14 eyes of 7 children). Conclusion: Slitlamp-delivered laser photocoagulation for ROP can be safe and effective. The mild myopia possibly reflects that this treatment modality interferes less with ocular development.