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Published on: September 11, 2013
Surgical outcomes in juvenile retinal detachment
N Akabane1, S Yamamoto, I Tsukahara
1Department of Ophthalmology, Toho University Sakura Hospital, Sakura, Japan.
Insights
Juvenile rhegmatogenous retinal detachment has good surgical outcomes. Appropriate surgical procedures, including scleral buckling and pars plana vitrectomy, achieve high reattachment rates comparable to adult cases.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Rhegmatogenous retinal detachment (RRD) in pediatric patients presents unique challenges.
- Understanding the clinical features and surgical outcomes is crucial for effective management.
Purpose of the Study:
- To retrospectively evaluate the clinical characteristics and surgical results of RRD in patients under 15 years of age.
- To compare juvenile RRD outcomes with those reported in adult populations.
Main Methods:
- Retrospective review of 28 patients (32 eyes) younger than 15 years undergoing initial surgery for RRD between 1991 and 1996.
- Surgical procedures included scleral buckling and/or pars plana vitrectomy.
Main Results:
- Idiopathic, familial exudative vitreoretinopathy, trauma, and high myopia were the most common causes of juvenile RRD.
- Proliferative vitreoretinopathy (PVR) grades C or D occurred in 37.5% of cases.
- Overall retinal reattachment rates were 87.5% after the first surgery and 93.8% after a second surgery.
Conclusions:
- Juvenile RRD can achieve reattachment rates and visual prognoses similar to adult cases.
- Appropriate surgical interventions are key to favorable outcomes in pediatric RRD.
Purpose:
To evaluate retrospectively clinical features and surgical outcomes of rhegmatogenous retinal detachment in juvenile patients.
Methods:
Between 1991 and 1996, 28 patients younger than 15 years of age with rhegmatogenous retinal detachment (32 eyes) underwent the first surgical procedure, scleral buckling and/or pars plana vitrectomy, at our hospital.
Results:
The major types of juvenile detachment, in order of frequency, were idiopathic, familial exudative vitreoretinopathy, trauma, and high myopia. Proliferative vitreoretinopathy (PVR) of grade C or D was involved in 12 cases (37.5%). Among the 12 eyes with PVR, 7 attained retinal reattachment after the first surgery with scleral buckling. The overall reattachment rate was 28/32 (87.5%) after the first operation and 30/32 (93.8%) after the second operation.
Conclusion:
These findings indicate that the reattachment rate and visual prognosis can be as good in juvenile retinal detachment as in adult cases, when appropriate surgical procedures are used.
