The results of diode Laser The results of diode Laser treatment for posterior treatment for posterior retinopathy of prematures retinopathy of prematures Piozzi E. Mazza M. Del Longo A. Piozzi E. Mazza M. Del Longo A. Niguarda Hospital MILAN Niguarda Hospital MILAN S.C. Pediatric Ophthalmology S.C. Pediatric Ophthalmology Chief E. Piozzi MD Chief E. Piozzi MD
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The results of diode Laser treatment for posterior retinopathy of prematures Piozzi E. Mazza M. Del Longo A. Niguarda Hospital MILAN S.C. Pediatric Ophthalmology.
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The results of diode Laser The results of diode Laser treatment for posterior treatment for posterior retinopathy of prematuresretinopathy of prematures
Piozzi E. Mazza M. Del Longo A.Piozzi E. Mazza M. Del Longo A.
Laser photocoagulation is Laser photocoagulation is
the treatment of choice for the treatment of choice for treshold retinopathy of treshold retinopathy of prematurity (ROP)prematurity (ROP)
LASER treatmentLASER treatment
We treated 50 eyes of 25 babies We treated 50 eyes of 25 babies with diode Laser (810 nwith diode Laser (810 nµµ) or ) or green Laser (532 ngreen Laser (532 nµ) from July µ) from July 2000 to October 2005.2000 to October 2005.
44 eyes ROP stage 2-3 plus 44 eyes ROP stage 2-3 plus
6 eyes ROP zone I (AP-ROP)6 eyes ROP zone I (AP-ROP)
The International Classification of Retinopathy of Prematurity Revisited
An International Committee for the Classification of Retinopathy of Prematurity*
Arch Ophthalmol. 2005;123:991-999.
ROP plusROP plus
Different from classic ROPDifferent from classic ROP
AP-ROP
AP-ROPAP-ROP
Zone IZone I Flat network neovascularizationFlat network neovascularization Naked shuntsNaked shunts Early plusEarly plus No stages No stages Rapidly progressiveRapidly progressive
AP-ROPAP-ROP
Plus is indication to laserPlus is indication to laser
Laser TreatmentLaser Treatment
Parameters:Parameters:
Power 150-200 mWPower 150-200 mW
Duration 0.1-0.2 sec.Duration 0.1-0.2 sec.
Number 1500-2000 spotsNumber 1500-2000 spots
Laser treatmentLaser treatment
The pattern of Laser The pattern of Laser photocoagulationphotocoagulation
burns to the avascular retina is :burns to the avascular retina is :
-confluent or -confluent or
-near confluent -near confluent
to avoid skip areas.to avoid skip areas.
Laser treatmentLaser treatment
Laser photocoagulation was Laser photocoagulation was performed under general performed under general anesthesiaanesthesia
NN GAGA WW STAGESTAGE EVOLUTIONEVOLUTIONPGPG 2525 780780 OO st 3 plusOO st 3 plus OS 4 AOS 4 A
RSRS 31+431+4 12001200 OO st 2 zona II plusOO st 2 zona II plus FAVORABLEFAVORABLE
PLPL 25+525+5 650650 3 plus3 plus FAVORABLEFAVORABLE
MBMB 2525 630630 3 plus zona II-III3 plus zona II-III FAVORABLEFAVORABLE
NVNV 2525 850850 3 plus 3 plus FAVORABLEFAVORABLE
PPPP 24+424+4 710710 3 plus zona II3 plus zona II FAVORABLEFAVORABLE
PDPD 2626 850850 2 plus zona II2 plus zona II FAVORABLEFAVORABLE
TDTD 2929 10001000 2 plus zona II-II2 plus zona II-II FAVORABLEFAVORABLE
Laser photocoagulation is Laser photocoagulation is associated with a good anatomic associated with a good anatomic outcome.outcome.
ROP more posterior is difficult to ROP more posterior is difficult to treat successfully with ablative treat successfully with ablative therapy.therapy.