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Pediatric silicone oil surgery
Nilufer Kocak1, Ali Osman Saatci, Hatice Deniz Ilhan
1Dokuz Eylul University, Ophthalmology Department, Izmir, Turkey.
Insights
Pars plana vitrectomy with silicone oil injection can treat pediatric retinal detachment, but visual outcomes are often poorer compared to adults. This study evaluated surgical aspects and visual results in young patients.
Area of Science:
- Ophthalmology
- Retina Surgery
- Pediatric Ophthalmology
Background:
- Complicated retinal detachment in pediatric patients presents unique challenges.
- Pars plana vitrectomy and silicone oil tamponade are utilized for complex cases.
Purpose of the Study:
- To assess the clinical features, surgical management, and visual results of pediatric patients undergoing pars plana vitrectomy with silicone oil injection for complicated retinal detachment.
Main Methods:
- Retrospective review of 24 pediatric patients (25 eyes) treated between 1995 and 2004.
- Analysis of causes of retinal detachment, surgical procedures, and follow-up data.
Main Results:
- The cohort included 79.2% boys with a mean age of 12.6 years.
- Common causes included ocular trauma (64%) and high myopia (12%).
- Retinal reattachment was achieved in 72% of eyes, but only 24% achieved visual acuity of 1/10 or better.
Conclusions:
- Silicone oil tamponade is a viable treatment option for pediatric complicated retinal detachment.
- Visual outcomes in pediatric patients are generally less favorable than in adult populations.
Purpose:
To evaluate clinical characteristics, surgical aspects, and visual outcomes of pediatric patients who underwent pars plana vitrectomy and silicone oil injection for complicated retinal detachment.
Patients And Methods:
The records of 24 patients (25 eyes) younger than 18 years were retrospectively reviewed. All patients underwent pars plana vitrectomy and silicone oil injection for complicated retinal detachment between January 1995 and June 2004 in the Ophthalmology Department of Dokuz Eylul University, Izmir, Turkey. All patients had follow-up at or beyond 6 months.
Results:
Nineteen (79.2%) boys and 5 (20.8%) girls were included. Mean age was 12.6 years (standard deviation, +/- 3.5; range, 5 to 17). Five eyes (20%) had blunt ocular trauma. Eleven eyes (44%) had penetrating trauma. Three eyes (12%) had high myopia. Four eyes (16%) had congenital cataract surgery. One eye (4%) had redetachment 1 month after vitreoretinal surgery performed at another clinic. One case had bilateral proliferative vitreoretinopathy with an undefined cause. The retina remained attached in 18 (72%) of 25 eyes at the final examination (17 were totally attached; 1 was partially attached). Mean follow-up was 23.4 months (standard deviation, +/- 20.5; range, 6 to 108). Postoperative visual acuity improved to 1/10 or better only in 6 eyes (24%) at the last examination.
Conclusion:
In pediatric patients with complicated retinal detachment, silicone oil injection for intraocular tamponade is an option for treatment, but visual outcome is poorer than for adults.
