M.V. PSHENICHNOV

The Khabarovsk branch of the S. Fyodorov Eye Microsurgery Federal State Institution, 211 Tikhookeanskaya Str., Khabarovsk, Russian Federation, 680033

 Pshenichnov Maksim Valeriyevich — Cand. Med. Sc., ophthalmologist of the Laser Surgery Department, tel. (4212) 72-27-92, e-mail: naukakhvmntk@mail.ru

Comparative analysis was carried out of the results of treatment of two groups of premature babies with threshold stages of ROP, comparable on gestational age (26-32 weeks), mass at birth (487-1701 grams), stages of ROP (III «+» illness, AP-ROP). RLC in both groups was performed with the help of a forehead ophthalmoscope. In the first group (19 eyes, 11 children) RLC was performed with closure of 75% of the area of avascular retina. In the second group (34 eyes, 17 children) RLC was performed on all area of avascular retina with a scleral depressor. To control of completeness of «closing» of avascular retina, we used the digital imaging system RetCam III. In the first group, after 3 months, positive result was achieved in 77.5% of eyes with III «+» illness, retinal detachment developed only in 3 eyes. In the presence of AP-ROP, only in 12.5% cases retinal detachment did not develop. The overall effectiveness of ROP treatment in the first group was only 47.5%. In the 2nd group 3 months after RLC positive result was achieved in 93% of eyes with III «+» illness. In the presence of AP-ROP positive result was achieved in 18 of 20 eyes (90%). The overall effectiveness of ROP treatment in the 2nd group was 91%. The developed modification of RLC, which includes treatment of 100% avascular retina with the help of a binocular forehead ophthalmoscope, increased the efficiency of treatment of ROP threshold stages to 91%, in comparison with classical RLC method (47.5%).

Key words: retinopathy of premature babies, retinal laser coagulation, indirect binocular ophthalmoscope.

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