Scleral Buckling for Retinopathy of Prematurity: A Case Report
Article Sidebar
-
Retinopathy of prematurity, Scleral buckling, retinal detachment
Abstract
Introduction
The selection of management for advanced retinopathy of prematurity (ROP) requires careful consideration. The purpose of this study is to report the effectiveness of scleral buckling in patient with retinopathy of prematurity stage 4B of both eyes within 3 months.
Case Description
A 4-month-old female baby came to the Pediatric Ophthalmology Unit in Cipto Mangunkusumo General Hospital (RSCM) Kirana with chief complain did not make eye contact of both eyes. Her eyes were moving on their own since she was 3.5 months old, and sometimes squint. The patient came to the pediatrician and was referred to pediatric ophthalmology for further treatment. There was a history of premature delivery at 30 weeks with oxygen therapy for 3 weeks. The Pediatric ophthalmology division performed ultrasonography and retcam, and the diagnosis of retinopathy of prematurity stage 4B of both eyes was made. Scleral buckling was performed in the right and left eyes at the postmenstrual age of 49 weeks, and 52 weeks respectively by vitreoretinal division.
Conclusion
The management of ROP depends on the type ROP. For advanced ROP, surgery is indicated. The scleral buckle is a treatment option for advanced retinopathy of prematurity patients with retinal detachment if it is assumed that intraocular surgery presents a greater risk. In short-term period, for the right eye, the scleral buckling is effective. Further time to follow up is needed to show the long-term period effectiveness of scleral buckling in patients with advanced ROP.
Full text article
References
REFERENCES:
Quimson SK. Retinopathy of Prematurity: Pathogenesis and current treatment options. Neonatal Netw. 2015;34(5):284-7.
American Academy of Ophthalmology. Pediatric ophthalmology and strabismus: basic and clinical science course section 6. San Francisco: American Academy of Ophthalmology; 2020.
Brown AC, Nwanyanwu K. Retinopathy of prematurity. [Updated 2021 Sep 9]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from the following: https://www.ncbi.nlm.nih.gov/books/NBK562319/
Hong EH, Shin YU, Cho H. Retinopathy of prematurity: a review of epidemiology and current treatment strategies. Clin Exp Pediatr. 2022;65(3):115-126.
Kanski JJ. The clinical ophthalmology 9th edition. New York: Elsevier; 2019.
Papageorgiou E, Riri K, Kardaras D, Grivea I, Mataftsi A, Tsironi EE, Androudi S. Scleral buckling surgery for stages 4A and 4B retinopathy of prematurity in critically ill neonates. Int Ophthalmol. 2022 Apr;42(4):1093-1100.
Sen P, Bhende P, Maitra P. Surgical outcomes in aggressive retinopathy of prematurity (arop)-related retinal detachments. Indian Journal of Ophthalmology. 2023 Oct 20;71(11):3454–9.
Spandau U, Kim SJ. Pediatric vascular disease. Switzerland: Springer Nature; 2019.
Faia LJ, Trese MT. Retinopathy of prematurity. In: Ryan SJ, Sadda SR, Hinton DR, Schachat AP, Wilkinson CP, Wiedemann P, et al, editors. Retina (Fifth Edition). :W.B. Saunders; 2013. London: Elsevier Health Sciences.
Rishi P, Rishi E, Gupta A, Mathew CS, Shah BJ. Non-drainage scleral buckling with solid silicone elements. Oman J Ophthalmol. 2014 May;7(2):55-60.
American Academy of Ophthalmology. Retina and vitreous: basic and clinical science course section 12. San Francisco: American Academy of Ophthalmology; 2020.
Edy Siswanto J, Sauer PJ. Retinopathy of prematurity in Indonesia: incidence and risk factors. J Neonatal Perinatal Med. 2017;10(1):85-90.
Borțea CI, Stoica F, Boia M, et al. Risk factors associated with retinopathy of prematurity in very and extremely preterm infants. Medicina (Kaunas). 2021;57(5):420.
Chandra P, Chawla D, Deorari AK, et al. Screening and Management of Retinopathy of Prematurity. Journal of Neonatology. 2020;34(1-2):63-82. doi:10.1177/0973217920934397.
Hellström A, Smith LE, Dammann O. Retinopathy of prematurity. Lancet. 2013 Oct 26;382(9902):1445-57.
Wu AL, Wu WC. Anti-VEGF for ROP and pediatric retinal diseases. Asia Pac J Ophthalmol (Phila). 2018 May-Jun;7(3):145-151.
Kusaka S. Current concepts and techniques of vitrectomy for retinopathy of prematurity. Taiwan J Ophthalmol. 2018 Oct-Dec;8(4):216-221.
Suren E, Cetinkaya E, Kalayci M, Özkan SEÖ, Kucuk MF, Erol MK. Endophthalmitis in retinopathy of prematurity after intravitreal aflibercept injection. Case Rep Ophthalmol Med. 2020 Dec 21;2020:8861435.
Zhong Y, Yang Y, Yin H, Zhao M, Li X, Liang J, Cheng Y. Evaluation of segmental scleral buckling surgery for stage 4A retinopathy of prematurity in China. Front Med (Lausanne). 2022 Aug 3;9:969861.
Bishnoi K, Prasad R, Upadhyay T, Mathurkar S. A Narrative Review on Managing Retinopathy of Prematurity: Insights Into Pathogenesis, Screening, and Treatment Strategies. Cureus. 2024 Mar 14;16(3):e56168.
Iwase S, Kaneko H, Fujioka C, Sugimoto K, Kondo M, Takai Y, Kachi S, Terasaki H. A long-term follow-up of patients with retinopathy of prematurity treated with photocoagulation and cryotherapy. Nagoya J Med Sci. 2014 Feb;76(1-2):121-8.
Hansen ED, Hartnett ME. A review of treatment for retinopathy of prematurity. Expert Rev Ophthalmol. 2019;14(2):73-87.
Authors
Copyright (c) 2025 Gustiandari Fidhya Permanik, Julie Dewi Barliana, Anggun Rama Yudantha
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.