Current Surgical Techniques in the Management for Retinopathy of Prematurity

Lawrence Y. Ho; Michael T. Trese

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Current Surgical Techniques in the Management for Retinopathy of Prematurity

机译：早产儿视网膜病变管理中的当前外科技术

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The management and understanding of retinopathy of prematurity (ROP) have improved immensely ever since being originally described in the early 1940s. Over the course of the last half century, what was once a potentially blinding condition has evolved into one with treatments that result in good visual and structural outcomes. Management of the early stages of ROP has its foundation in the importance of timely and accurate screening of premature infants followed by laser photoablation of the avascular periphery when deemed appropriate based on current guidelines. Even with success rates of close to 90% with laser ablation alone, a percentage of these patients still progress to the later stages of ROP, which is now predominately managed through lens-sparing vitrectomy surgery for stage 4A. With these techniques, anatomical attachment can be achieved in 90% of eyes that developed a retinal detachment after laser photoablation. Although current interventions may offer visual preservation in eyes that previously became legally blind, greater knowledge into the pathophysiology and management through further research may afford more effective therapeutic strategies in the future.

机译：自从1940年代初期最初描述以来，早产儿视网膜病变（ROP）的管理和理解就得到了极大的改善。在过去的半个世纪中，曾经是一种潜在的致盲性疾病，如今已演变为一种可带来良好视觉和结构效果的治疗方法。 ROP早期阶段的管理的基础在于，根据当前指南，在认为适当的情况下，及时准确地筛查早产婴儿，然后对血管周围进行激光消融非常重要。即使仅使用激光消融术的成功率接近90％，这些患者中仍有一部分仍进展到ROP的晚期，而ROP现已主要通过晶状体玻璃体切除术进行4A期治疗。使用这些技术，可以在90％的激光光消融后发生视网膜脱离的眼睛中实现解剖学附着。尽管当前的干预措施可以保护以前合法失明的眼睛，但通过进一步的研究对病理生理学和治疗方法有了更多的了解，将来可能会提供更有效的治疗策略。

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《Techniques in ophthalmology》 |2009年第2期|共4页
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Lawrence Y. Ho; Michael T. Trese;
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1. Current Surgical Techniques in the Management for Retinopathy of Prematurity [J] . Lawrence Y. Ho, Michael T. Trese Techniques in ophthalmology . 2009,第2期

机译：早产儿视网膜病变管理中的当前外科技术
2. SURGICAL MANAGEMENT OF TRACTIONAL RETINOSCHISIS ASSOCIATED WITH VITREOUS HEMORRHAGE IN RETINOPATHY OF PREMATURITY [J] . Bozho Todorich Retinal cases & brief reports . 2019,第1期

机译：牵引视网膜的外科治疗与早熟的视网膜病变中玻璃体疗法相关
3. Successful Surgical Management of Retinopathy of Prematurity Showing Rapid Progression despite Extensive Retinal Photocoagulation [J] . Salil S Gadkari, Sucheta R Kulkarni, Rushita R Kamdar, Middle East African Journal of Ophthalmology . 2015,第3期

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
4. A GMM-based feature extraction technique for the automated diagnosis of Retinopathy of Prematurity [C] . Bolon-Canedo V., Ataer-Cansizoglu E., Erdogmus D., IEEE International Symposium on Biomedical Imaging . 2015

机译：基于GMM的特征提取技术，可自动诊断早产儿视网膜病变
5. MUSHROOM INTEGRATED PEST MANAGEMENT AND THE COST OF CURRENT MANAGEMENT TECHNIQUES. [D] . DUFFY, MICHAEL DOUGLAS. 1981

机译：蘑菇综合害虫管理和当前管理技术的成本。
6. Current Concepts of Oxygen Management in Retinopathy of Prematurity [O] . Leah A. Owen, M. Elizabeth Hartnett 2014

机译：早产儿视网膜病变中氧气管理的最新概念
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Current Surgical Techniques in the Management for Retinopathy of Prematurity

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