TY - JOUR AU - Gopal, Lingam AU - Sharma, Tarun PY - 1997/03/01 Y2 - 2024/03/29 TI - Periphery to center dissection for stage V retinopathy of prematurity aided by temporary iris retractors - a pilot study JF - Hong Kong Journal of Ophthalmology JA - Hong Kong J Ophthalmol VL - 1 IS - 1 SE - Original Articles DO - UR - https://hkjo.hk/index.php/hkjo/article/view/170 SP - 41-44 AB - <p><strong>Aim: </strong>To discuss the results of a pilot study involving the management of stage V retinopathy of prematurity using the technique of 'periphery to center enblock dissection', aided by temporary iris retractors and bimanual surgery.</p><p><strong style="font-size: 10px;">Materials </strong><strong style="font-size: 10px;">and </strong><strong style="font-size: 10px;">methods: </strong><span style="font-size: 10px;">Six eyes of 5 patients with stage V retinopathy of prematurity underwent closed lensectomy and vitrectomy procedures. Temporary iris retractors were used  to permit exposure of  the periphery. Bimanual dissection of the fibrovascular tissue was done from the periphery to center under viscoelastic substances.</span></p><p><strong style="font-size: 10px;">Results: </strong><span style="font-size: 10px;">Tissue dissection was very satisfactory with this technique. At last follow up, 2 eyes had total retinal reattachment, 2 eyes had posterior polar reattachment and 2 eyes had persistent total retinal detachment.</span></p><p><strong style="font-size: 10px;">Conclusions: </strong><span style="font-size: 10px;">'Periphery to center enblock dissection' is possible in Stage V Retinopathy of prematurity by closed route using bimanual surgery and aided by temporary iris retractors. This technique enables removal of the fibrovascular tissue very satisfactorily.</span></p> ER -