{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T18:29:37Z","timestamp":1793730577519,"version":"4.6.1"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"6","license":[{"start":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T00:00:00Z","timestamp":1767744000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To assess anatomical and functional outcomes of encircling or segmental buckle in premature infants with stage 4 retinopathy of prematurity (ROP).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This retrospective, single-center, interventional study included preterm infants with stage 4A or 4B ROP who underwent encircling (Group A) or segmental (Group B) scleral buckle. Surgical outcomes, long-term sequelae, and comorbidities were evaluated.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 105 eyes (90 infants) were analyzed\u201485 in Group A and 20 in Group B. Stage 4A was present in 75 eyes. The mean gestational age was 30.05 \u00b1 2.73 weeks; mean birth weight, 1383 \u00b1 411.01 gram. Primary surgical success was 90.5% in Group A (4A: 93.9%; 4B: 78.9%) and 90% in Group B (4A: 88.8%;4B: 90.9%). Preoperative treatment and combined intraoperative interventions significantly improved anatomical success (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.05). Mean spherical equivalent was \u22126.00 D in Group A and \u22123.12 D in Group B. Functional vision (central, steady, maintained) was achieved in 32% of Group A and 55% of Group B. Common sequelae included disc drag and macular ectopia; comorbidities included myopia, strabismus, and nystagmus.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Scleral buckling is an effective and less invasive treatment for selected cases of stage 4 ROP with peripheral traction.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1518_25","type":"journal-article","created":{"date-parts":[[2026,1,7]],"date-time":"2026-01-07T12:00:19Z","timestamp":1767787219000},"page":"921-926","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Scleral buckling in stage 4A\/B retinopathy of prematurity: A retrospective analysis of 105 eyes"],"prefix":"10.4103","volume":"74","author":[{"given":"Pradeep","family":"Susvar","sequence":"first","affiliation":[{"name":"Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Areeba","family":"Shakeel","sequence":"additional","affiliation":[{"name":"Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abhishek","family":"Karra","sequence":"additional","affiliation":[{"name":"Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lingam","family":"Gopal","sequence":"additional","affiliation":[{"name":"Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pramod","family":"Bhende","sequence":"additional","affiliation":[{"name":"Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,7]]},"reference":[{"issue":"Suppl 1","key":"R2-20261103","doi-asserted-by":"crossref","first-page":"S2","DOI":"10.1186\/1742-4755-10-S1-S2","article-title":"Born too soon: The global epidemiology of 15 million preterm births","volume":"10","author":"Blencowe","year":"2013","journal-title":"Reprod Health"},{"key":"R3-20261103","article-title":"National Neonatology Foundation\u2019s evidence-based clinical practice guidelines (2010): Retinopathy of Prematurity","author":"Pejawar","year":"2010","journal-title":"NNF India"},{"key":"R4-20261103","doi-asserted-by":"crossref","first-page":"711","DOI":"10.1097\/00006982-200410000-00011","article-title":"Comparison of retinal outcomes after scleral buckle or lens-sparing vitrectomy for stage 4 retinopathy of 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Long-term structural and functional outcome. Multicenter Trial of Cryotherapy for Retinopathy of Prematurity Cooperative Group","volume":"114","author":"Gilbert","year":"1996","journal-title":"Arch Ophthalmol"}],"container-title":["Indian Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_1518_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,3]],"date-time":"2026-11-03T18:01:47Z","timestamp":1793728907000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/IJO.IJO_1518_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1,7]]},"references-count":28,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ijo.ijo_1518_25","relation":{},"ISSN":["0301-4738","1998-3689"],"issn-type":[{"value":"0301-4738","type":"print"},{"value":"1998-3689","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1,7]]},"assertion":[{"value":"2025-06-16","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-06","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}