Despite the recently demonstrated efficacy of cryotherapy in retinopathy of prematurity (ROP), a number of these eyes still progress to retinal detachment. The prognosis for retinal reattachment is guarded at best.1,2 Spontaneous retinal reattachment has been described in peripheral detachments (stage 4A),3 but no report exists, to our knowledge, describing total spontaneous reattachment in stage 5 ROP. In a recent study, six eyes within a larger series of unoperated eyes with stage 5 ROP developed some degree of spontaneous reattachment.2 No details of the retinal configuration were provided, however, and none of the eyes was reported to have retained any level of visual acuity. We recently observed a patient with stage 5 ROP who developed total spontaneous reattachment with preservation of some visual acuity.
Report of a Case.
—Our patient was a 539-g black boy born at an estimated gestational age (EGA) of 24 weeks. He was
Martin DF, de Juan E. Spontaneous Retinal Reattachment in Stage 5 Retinopathy of Prematurity. Arch Ophthalmol. 1992;110(4):453-454. doi:10.1001/archopht.1992.01080160031014