Published online Feb 8, 2018. doi: 10.5409/wjcp.v7.i1.62
Peer-review started: November 2, 2017
First decision: November 30, 2017
Revised: December 3, 2017
Accepted: December 14, 2017
Article in press: December 14, 2017
Published online: February 8, 2018
To report our initial experience with lens-sparing vitrectomy for stage 4 retinopathy of prematurity using the 27-gauge (G) system.
This retrospective case series involved nine eyes of five babies with active stage 4 ROP, who underwent 27-G lens-sparing vitrectomy. Surgery was done using 27-G valved cannulas and sclerotomies were made 1.5 mm from the limbus. Bilateral sequential vitrectomy was done in eight eyes.
At one-year follow-up, anatomical outcome was favourable in all nine (100%) eyes. High-speed cutting and smaller sclerotomies were helpful in reducing the intra and post-operative complications.
27-G vitrectomy is well suited for stage 4 ROP surgeries.
Core tip: This is a retrospective study of nine eyes of five children with active stage 4 retinopathy of prematurity, who underwent 27-gauge microincision vitrectomy surgeries with excellent outcomes.