ArticleIndian journal of ophthalmology2026
Scleral buckling in stage 4A/B retinopathy of prematurity: A retrospective analysis of 105 eyes.
Article in Indian journal of ophthalmology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeTo assess anatomical and functional outcomes of encircling or segmental buckle in premature infants with stage 4 retinopathy of prematurity (ROP).
methodsThis retrospective, single-center, interventional study included preterm infants with stage 4A or 4B ROP who underwent encircling (Group A) or segmental (Group B) scleral buckle. Surgical outcomes, long-term sequelae, and comorbidities were evaluated.
resultsA total of 105 eyes (90 infants) were analyzed-85 in Group A and 20 in Group B. Stage 4A was present in 75 eyes. The mean gestational age was 30.05 ± 2.73 weeks; mean birth weight, 1383 ± 411.01 gram. Primary surgical success was 90.5% in Group A (4A: 93.9%; 4B: 78.9%) and 90% in Group B (4A: 88.8%;4B: 90.9%). Preoperative treatment and combined intraoperative interventions significantly improved anatomical success ( P < 0.05). Mean spherical equivalent was -6.00 D in Group A and -3.12 D in Group B. Functional vision (central, steady, maintained) was achieved in 32% of Group A and 55% of Group B. Common sequelae included disc drag and macular ectopia; comorbidities included myopia, strabismus, and nystagmus.
conclusionScleral buckling is an effective and less invasive treatment for selected cases of stage 4 ROP with peripheral traction.
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