PMID- 30998240 OWN - NLM STAT- MEDLINE DCOM- 20191217 LR - 20230919 IS - 2325-8179 (Electronic) IS - 2325-8160 (Print) IS - 2325-8160 (Linking) VI - 50 IP - 4 DP - 2019 Apr 1 TI - Early Diagnosis and Management of Aggressive Posterior Vitreoretinopathy Presenting in Premature Neonates. PG - 201-207 LID - 10.3928/23258160-20190401-01 [doi] AB - BACKGROUND AND OBJECTIVE: Aggressive posterior vitreoretinopathy (APVR) manifests with a broad area of retinal avascularity, progressive neovascularization, and/or tractional retinal detachment during the neonatal period. PATIENTS AND METHODS: A multicenter, retrospective, observational, consecutive case series study was performed to evaluate the retinal findings and structural retinal outcomes in patients treated for APVR within the first 3 months of life. RESULTS: Three premature neonates with a non-retinopathy of prematurity (ROP) APVR identified during routine ROP screening exams exhibited relatively severe, rapidly progressive retinal vascular abnormalities. Immediate laser photocoagulation of the avascular retina and vitrectomy for traction retinal detachment within several days to weeks improved or stabilized the retinal anatomy in all cases. CONCLUSIONS: This series describes clinical features in APVR in premature infants and suggests that early diagnosis and intervention may mitigate the typical aggressive course and poor prognosis of this condition. [Ophthalmic Surg Lasers Imaging Retina. 2019;50:201-207.]. CI - Copyright 2019, SLACK Incorporated. FAU - Gupta, Mrinali P AU - Gupta MP FAU - Yonekawa, Yoshihiro AU - Yonekawa Y FAU - Campbell, J Peter AU - Campbell JP FAU - Rusu, Irene AU - Rusu I FAU - Zahid, Sarwar AU - Zahid S FAU - Patel, Samir N AU - Patel SN FAU - Chau, Felix AU - Chau F FAU - Jonas, Karyn E AU - Jonas KE FAU - Oltra, Erica AU - Oltra E FAU - Orlin, Anton AU - Orlin A FAU - Chang, Jonathan AU - Chang J FAU - Horowitz, Jason AU - Horowitz J FAU - Abramson, David H AU - Abramson DH FAU - Marr, Brian AU - Marr B FAU - Capone, Antonio AU - Capone A FAU - Paul Chan, R V AU - Paul Chan RV LA - eng GR - R01 EY019474/EY/NEI NIH HHS/United States GR - P30 EY001792/EY/NEI NIH HHS/United States GR - P30 EY010572/EY/NEI NIH HHS/United States GR - P30 EY001765/EY/NEI NIH HHS/United States GR - P30 CA008748/CA/NCI NIH HHS/United States GR - K12 EY027720/EY/NEI NIH HHS/United States GR - R01 HD107493/HD/NICHD NIH HHS/United States PT - Journal Article PT - Multicenter Study PT - Observational Study PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PL - United States TA - Ophthalmic Surg Lasers Imaging Retina JT - Ophthalmic surgery, lasers & imaging retina JID - 101599215 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Vascular Endothelial Growth Factor A) SB - IM MH - Angiogenesis Inhibitors/*administration & dosage MH - Disease Management MH - *Early Diagnosis MH - Female MH - Fluorescein Angiography/*methods MH - Fundus Oculi MH - Gestational Age MH - Humans MH - Infant, Newborn MH - *Infant, Premature MH - Intravitreal Injections MH - Laser Therapy/*methods MH - Male MH - Prognosis MH - Retrospective Studies MH - Vascular Endothelial Growth Factor A/antagonists & inhibitors MH - Visual Acuity MH - Vitrectomy/*methods MH - Vitreoretinopathy, Proliferative/*diagnosis/drug therapy/surgery PMC - PMC7864674 MID - NIHMS1666083 EDAT- 2019/04/19 06:00 MHDA- 2019/12/18 06:00 PMCR- 2021/02/05 CRDT- 2019/04/19 06:00 PHST- 2018/06/26 00:00 [received] PHST- 2019/01/03 00:00 [accepted] PHST- 2019/04/19 06:00 [entrez] PHST- 2019/04/19 06:00 [pubmed] PHST- 2019/12/18 06:00 [medline] PHST- 2021/02/05 00:00 [pmc-release] AID - 10.3928/23258160-20190401-01 [doi] PST - ppublish SO - Ophthalmic Surg Lasers Imaging Retina. 2019 Apr 1;50(4):201-207. doi: 10.3928/23258160-20190401-01.