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首页> 外文期刊>Middle East African Journal of Ophthalmology >Successful Surgical Management of Retinopathy of Prematurity Showing Rapid Progression despite Extensive Retinal Photocoagulation
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Successful Surgical Management of Retinopathy of Prematurity Showing Rapid Progression despite Extensive Retinal Photocoagulation

机译：尽管广泛的视网膜光凝治疗，早产儿视网膜病变的成功外科治疗仍显示出快速进展

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摘要

The management of retinopathy of prematurity (ROP) can be challenging in preterm babies with a gestational age <30 weeks, those with very low birth weight and multiple risk factors (eg., oxygen therapy for respiratory distress, sepsis, neonatal jaundice). A premature infant presented with “hybrid” zone 1 disease in the right eye and aggressive posterior ROP in the left eye. Both eyes were adequately treated with laser photocoagulation; however, the eyes deteriorated and progressed to stage 4 ROP. Both eyes eventually underwent intravitreal bevacizumab followed by lens sparing vitrectomy with good anatomical and visual outcome. Anticipation of progression despite laser photocoagulation in certain clinical scenarios, frequent follow-up and timely surgical intervention is paramount.Keywords: Aggressive posterior retinopathy of prematurity, Hybrid form of retinopathy of prematurity, Lens Sparing Vitrectomy, Retinal Laser Photocoagulation
机译：对于胎龄小于30周的早产儿，出生体重很低且有多种危险因素（例如，用于呼吸窘迫，败血症，新生儿黄疸的氧疗）的早产儿视网膜病（ROP）的管理可能具有挑战性。早产儿在右眼出现“混合型” 1区疾病，在左眼出现积极的后ROP。两只眼睛均接受激光光凝治疗;但是，眼睛恶化并发展到第4阶段ROP。两只眼睛最终接受玻璃体内贝伐单抗治疗，然后保留晶状体玻璃体切除术，具有良好的解剖和视觉效果。关键是：在某些临床情况下，尽管需要进行激光光凝术，但仍要有进展的趋势，频繁的随访和及时的外科手术干预才是最重要的。关键词：激进的早产儿后视网膜病变，早发性视网膜病的混合型视网膜保留玻璃体切除术，视网膜激光光凝术

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