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Anatomical and visual outcome of retinal detachment surgery in children
T K Butler1, A W Kiel, G M Orr
1Department of Ophthalmology, Queen's Medical Centre, University Hospital Nottingham, NG7 2UH, UK.
Insights
Pediatric rhegmatogenous retinal detachment surgery achieved an 86.6% reattachment rate. While 53.3% of children experienced improved vision, further research is needed for this rare condition.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Background:
- Rhegmatogenous retinal detachment (RRD) is uncommon in children.
- Limited data exists on surgical outcomes for pediatric RRD.
Purpose of the Study:
- To assess visual and anatomical outcomes of RRD surgery in children.
- To document complications following pediatric RRD surgery.
- To provide data for patient and parent counseling.
Main Methods:
- Retrospective review of pediatric patients (0-16 years) undergoing primary RRD surgery.
- Study period: April 1994 to March 1999.
- Data collected on visual and anatomical outcomes, and complications.
Main Results:
- 15 pediatric patients with RRD were analyzed.
- Mean follow-up was 14.7 months.
- Retinal reattachment achieved in 86.6% of cases.
- Visual improvement noted in 53.3% of patients.
- Trauma accounted for 40% of RRD cases.
Conclusions:
- Pediatric RRD surgery demonstrates favorable reattachment rates.
- Visual outcomes are variable, with a significant portion experiencing improvement.
- Findings contribute to understanding surgical risks and benefits in pediatric RRD.
Aims:
To evaluate the visual and anatomical outcome, as well as complications following surgery, for rhegmatogenous retinal detachment in children at a tertiary referral centre over a 5 year period.
Methods:
A retrospective survey of all children (aged 0-16 years) who underwent primary retinal detachment surgery at Queen's Medical Centre between April 1994 and March 1999.
Results:
15 consecutive patients were identified with a mean follow up of 14.7 months (range 3-57) and a mean age of 12.4 years. Trauma was the cause in 40% (6/15). Complete retinal reattachment was achieved in 86.6% (13/15). Visual improvement occurred in 53.3% (8/15), worsening of vision occurred in 13.3% (2/15), with no change in the remaining 33.3% (5/15). Visual acuity was D 6/12 in 6.6% (1/15) preoperatively, and 26.6% (4/15) postoperatively.
Conclusions:
Retinal detachment in children is rare compared with adults. There are therefore limited data available for this group of patients. These data provide one unit's experience over a 5 year period, and may help provide a basis for information for patients and their parents when discussing the risks and potential benefits of surgery for retinal detachment in the paediatric population.