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[Vitreous surgery in paediatric population. Visual and anatomic outcomes]
J O Rivera-Sempértegui1, A J Gallegos-Valencia, P Navarro-López
1Servicio de Retina, Hospital Dr. Luis Sánchez Bulnes, Asociación para Evitar la Ceguera en México, IAP. jorgeriveras@hotmail.com
Purpose:
To determine the anatomic and visual outcome of children that had undergone vitreoretinal surgery.
Method:
229 clinical files where analyzed at our center, were included 73 patients, 77 eyes. We considered those who were 18 years old or younger and had undergone retinal surgery, retinopathy of prematurity (ROP) was excluded.
Results:
The mean age was 10 years; the main indication for surgery was retinal detachment. Trauma and congenital and developmental abnormalities where found in 80% of the ocular pathology involved. 90.9% of the patients had an initial visual acuity of light perception to counting fingers. Final visual acuity ranged from counting fingers to 1.0 in 41.6%. There was no statistical significance between initial visual acuity and the final (p = 0.782) neither was the time of surgery and the final visual acuity (p = 0.454). 12.5% presented total retinal detachment and the macula was involved in 63.6% of all patients. Vitrectomy and retinopexy was the preferred surgery. Silicon oil was used in 58.4%. Retinal attachment was achieved in 63% of the patients after 6 months.
Conclusion:
In this kind of patients the ocular characteristics of the vitreous, made the surgery a very difficult procedure, and the final success include the visual rehabilitation.