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In the article by Palmer et al¹ entitled "15-Year Outcomes Following Threshold Retinopathy of Prematurity: Final Results From the Multicenter Trial of Cryotherapy for Retinopathy of Prematurity" and the accompanying editorial by Fielder² in the March 2005 issue of the ARCHIVES, the 15-year follow-up results suggest that outcomes were considered favorable if visual acuity was 20/60 to 20/200.^{1, 3} However, these children would have low vision, and many would not be able to read the blackboard or get a driver's license. Squint, which causes a permanent cosmetic blemish, was not considered an adverse outcome,^{1, 3} even though this occurs many weeks postnatally owing to macular dragging.

The eyes studied at birth would have started with an immature retina (Figure 1), and they were enrolled 4 to 6 weeks later. By that time, some of the pathological abnormalities may not have reversed despite prompt and adequate treatment. Using the . . . [Full Text of this Article]

AUTHOR INFORMATION
Subhadra Jalali, MS; Anjli Hussain, MD

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