Навигационная лазерная коагуляция сетчатки при активной ретинопатии недоношенных: новый взгляд на старую проблему

Abstract

Purpose.To demonstrate the possibilities and determine the specific features of navigational transpupillary laser coagulation of the retina in children with active stages of retinopathy of prematurity. Material and methods. Navigational transpupillary laser coagulation of the retinal avascular zones (LC) was performed in 9 premature infants in the active ROP with an unfavorable type in 18 eyes, of which 2nd stage of the disease was diagnosed in 10 eyes, 3rd stage with epiretinal neovascularization in the projection of the extraretinal proliferation ridge – in 8 eyes. Laser treatment in all cases was carried out transpupillary on the NAVILAS 577s laser system (OD-OS, Germany) using a pediatric corneal contact panfundus lens. Results. In result of the navigation LC in children with active ROP stages regression of the disease was achieved in all cases, the required amount of laser coagulation was performed in one session, in the avascular zone of the retina, regardless to the localization of the pathological process, while the implemented treatment plan fully corresponded to preoperative planning. Conclusion. The presence of navigation support for laser interventions allows for effective, safe and dosed treatment for patients with active ROP. Keywords: retinopathy of prematurity, retinal laser coagulation, automated navigation laser system