ADULT MANIFESTATIONS OF CICATRICIAL PERIOD OF RETINOPATHY OF PREMATURITY

Objective: to systematize manifestations, to study the efficacy of treatment of late complications of retinopathy of prematurity. Methods. The analysis of consecutive cases of late vitreoretinal complications of retinopathy of prematurity was carried out according to the requestability in 2013-2017 39 patients (43 eyes). The criteria for inclusion in the studies were a favorable anatomical and functional outcome of the active period of retinopathy of prematurity, stabilization of the disease for a period of not less than 5 years. Results. The main complications of the retinopathy of prematurity in adults were late traction, traction-regmatogenic retinal detachment (69.8%), vitreous hemorrhage (16.3%), recurrent neovascularization, exsudative vitreoretinopathy (13.9%). The anatomical success of surgical treatment of late retinal detachment depended on the stage of retinopathy of prematurity in its active period and amounted to 82.4% in 1-3 stages of retinopathy of prematurity, 53.8% at 4a stage, 23.1% at 4b-5. The reasons of inefficacy resurgery of retinal detachment were severe retinal rigidity, giant breaks in its central sections, and reactivation of fibrovascular proliferation. Conclusion. Late vitreoretinal complications can accompany any stage of the scarring period of retinopathy of prematurity. Their treatment is complex and not always solvable from the perspective of modern possibilities of vitreoretinal surgery (bibliography: 9 refs).

retinal detachment, retinopathy of prematurity, scleral buckling, vitrectomy, vitreous hemorrhage