Laser de diodo versus crioterapia no tratamento da retinopatia da prematuridade: estudo comparativo

Laser de diodo versus crioterapia no tratamento da retinopatia da prematuridade: estudo comparativo

Autores:

Nilva Simeren Bueno de Moraes,
Michel Eid Farah,
Pedro Paulo Bonomo,
Maria Fernanda Branco de Almeida

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.60 no.6 São Paulo dez. 1997

http://dx.doi.org/10.5935/0004-2749.19970013

SUMMARY

A total of 1677 premature infants were examined by indirect ophthalmoscopy in 4th, 5th, 7th, 9th 12th e 24th weeks of life, between January 1988 and December 1995. The weight of the infants was less than 1250 grams and gestacional age 30 weeks or less. Treatment was done in those with stage 3+ of retinopathy, zones I,II and III. Treatment was performed in 41 premature infants (9%), 29 (70%) with transescleral cryotherapy with 38 weeks of post conceptual age and 12 (30%) with laser photocoagulation with 39 weeks of post conceptual age. All infants were followed for at least five months.

Chemosis, palpebral edema and vitreous opacities were complications of cryotherapy; retinal hemorrhage, Bruch's rupture and iris burn were laser complications.

Complications of anesthesia included bradycardia, transient hypoxemia and temporary respiratory arrest.

The results suggested that laser therapy is as effective as cryoth erapy in the treatment of retinopathy of prematurity, wíth less complications.

REFERÊNCIAS

1 BARRON, D. F.; SIVULICH, K. A. - Laser therapy as a treatment for retinopathy of prematurity. Pediatr. Nurs, 20(1): 90 - 2, 1994.
2 CLARK, D. I.; HERO, M. - Indirect diode laser treatment for stage 3 retinopathy of prematurity. Eye, 8(4): 423-6, 1994.
3 FARAH, M. E.; BLUMENKRANZ, M.; PAREL, J. M.; BONOMO, P. P.; BELFORT Jr., R.; LIMA, A. L. H. - Estudo experimental comparativo da crioterapia, diatermia e laserterapia via "pars plana". Rev. Bras. Oftal, 50: 271-283, 1991.
4 GREVEN, C. M.; TASMAN, W. - Rhegmatogenous retinal detachment following cryotherapy in retinopathy of prematurity. Arch. Ophthalmol. 107: 1017-8, 1989.
5 HACK, M.; WRIGHT. L. L.; SHANKARAN. S.; TYSON, J. E.; HORBAR, J. D.; BAUER, C. R.; YOUNES, M. A.: Very-low-birth-weight outcomes of the National Institute of Child Health and Human Development Neonatal Network, November 1989 to October 1990. Am. J. Obstetr. and Gynecol., 172(2):457-464, 1995.
6 HUNSUCKER, K.; KING, C.; STAMM, S.; CISNEROS, N. - Laser surgery for retinopathy of prematurity. Neonatal Netw., 14(4): 21-6, 1995.
7 HUNT, L. - Complications of indirect laser photocoagulation. Insight, 19(4): 24-5, 1994.
8 HUNTER, D. G.; REPKA, M. X. - Diode laser photocoagulation for threshold retinopathy of prematurity. A randomized study. Ophthalmology, 100(2): 238-44, 1993.
9 LING, C. S.; FLECK, B. W.; WRIGHT, E.; ANDERSON, C.; LAING, I. - Diode laser treatment for retinopathy of prematurity. Structural and functional outcome . Br. J. Ophthalmol., 79(7): 637-41, 1995.
10 McNAMARA, J. A.; TASMAN, W.; BROWN, G. C.; FEDERMAN, J. L. - Laser photocoagulation for stage 3+ retinopathy of prematurity. Ophthalmology, 95(5): 576-580, 1991.
11 YANG, C. M. - Diode laser photocoagulation for retinopathy of prematurity. J. Form. Med. Assoc., 94(1-2): 56-9, 1995.
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