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Management of traumatic retinal detachment with vitreon in children
1Department of Vitreoretinal Surgery, SSK Eye Hospital, Ankara, Turkey. osman@ophthal.med.osaka-u.ac.jp
Insights
Perfluoroperhydrophenanthrene (Vitreon) use in pediatric traumatic retinal detachment showed a 53% reattachment rate. While Vitreon may aid vitreoretinal surgery, outcomes remain challenging for these complex pediatric cases.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Pediatric Ophthalmology
Background:
- Traumatic retinal detachment in children presents significant surgical challenges.
- Complex injuries often lead to poor visual outcomes and high complication rates.
Purpose of the Study:
- To evaluate the efficacy of perfluoroperhydrophenanthrene (Vitreon) as an intraoperative tool.
- To assess its use in managing traumatic retinal detachment in pediatric patients.
Main Methods:
- Retrospective study of 34 children with complicated retinal detachment due to penetrating trauma.
- Vitreon used as an intraoperative adjunct during vitreoretinal surgery.
- Evaluation of injury characteristics, visual acuity, complications, and anatomic success.
Main Results:
- An average follow-up of 20 months.
- Successful retinal reattachment in 18 eyes (53%).
- Postoperative visual acuity was counting fingers or better in 26% of cases; hypotony occurred in 21%.
Conclusions:
- Management of pediatric traumatic retinal detachment is difficult.
- Vitreon may serve as an effective intraoperative tool in pediatric vitreoretinal surgery.
- Further research into perfluorocarbon agents for complex pediatric cases is warranted.
Purpose:
To report the use of perfluoroperhydrophenanthrene (vitreon) for traumatic retinal detachment in children.
Methods:
Vitreon was used as an intraoperative adjunct in 34 children with complicated retinal detachment secondary to penetrating and perforating trauma. The characteristics of the injuries, the final visual acuities, the postoperative complications and the rate of anatomic success were evaluated in a retrospective study.
Results:
Patients were followed-up an average of 20 months. Eighteen retinas (53%) were reattached, and the postoperative visual acuity was counting fingers or better in 9 cases (26%), and only 4 eyes saw better than 10/200 at last follow-up. Hypotony developed in 7 (21%) of 34 eyes.
Conclusion:
Management of traumatic retinal detachment in children is difficult. Vitreon, as other perfluorocarbons, may be an effective intraoperative tool for vitreoretinal surgery in pediatric eyes that suffer trauma.