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January 1987

Surgery for Stage 5 Retinopathy of Prematurity

Arch Ophthalmol. 1987;105(1):21. doi:10.1001/archopht.1987.01060010023005

To the Editors.  —It has been estimated that more than 500 infants will become blind each year due to retinal detachment associated with retinopathy of prematurity.1 On Jan 24, 1986, a small group of surgeons who were heavily involved in the care of infants with retinopathy of prematurity came together to discuss indications, techniques, results, and problems associated with surgery for the treatment of stage 5 disease (total retinal detachment). The purpose of this communication is to summarize the discussions at that meeting.The participants agreed that total traction retinal detachment represents the major indication for surgery. Since the infants are developmentally delayed as well as limited in vision, objective visual acuity measurements are frequently not available either preoperatively or postoperatively. Although no one would operate on an eye that does not have light perception, there is no generally agreed on way to determine with full confidence the absence

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