Related Experiment Video

Updated: Jun 27, 2026

Binocular Dynamic Visual Acuity in Eyeglass-Corrected Myopic Patients
07:06

Binocular Dynamic Visual Acuity in Eyeglass-Corrected Myopic Patients

Published on: March 29, 2022

Paediatric retinal detachment: comparison of high myopia and extreme myopia

N-K Wang1, Y-P Chen, C-C Lai

  • 1Department of Ophthalmology, Chang Gung Memorial Hospital, Linkuo, Taiwan.

The British Journal of Ophthalmology
|December 23, 2008
PubMed

Insights

Paediatric retinal detachment (RD) in extreme myopia has poorer surgical outcomes than in high myopia. Higher refractive error predicts worse surgical success, suggesting distinct management approaches are needed.

Area of Science:

  • Ophthalmology
  • Paediatric Ophthalmology
  • Retinal Surgery

Background:

  • Paediatric retinal detachment (RD) is a significant cause of vision loss in children.
  • High myopia and extreme myopia present distinct challenges in managing RD.
  • Understanding differences in clinical features and surgical outcomes is crucial for effective treatment.

Purpose of the Study:

  • To compare the clinical features and surgical outcomes of paediatric RD in high myopia versus extreme myopia.
  • To identify predictors of surgical success in paediatric RD.

Main Methods:

  • Retrospective review of 107 children with RD and spherical equivalent (SE) of at least -6.00 dioptres (D).
  • Patients categorized into high myopia (SE -6.0 to -10.0 D) and extreme myopia (SE >-10.0 D) groups.
  • Comparison of RD characteristics, surgical procedures, and outcomes between groups.

Main Results:

  • Significant differences observed in total RD, posterior staphyloma, and break types between groups (p<0.001).
  • Extreme myopia group required more vitrectomies post-initial repair.
  • Retinal reattachment rates were 97.5% in high myopia vs. 73.3% in extreme myopia.
  • Higher refractive error was the sole negative predictor of surgical outcome (p=0.026).

Conclusions:

  • Paediatric RD in extreme myopia exhibits distinct clinical features and poorer surgical outcomes compared to high myopia.
  • Management strategies for paediatric RD should be tailored based on myopia severity.
  • Higher refractive error is associated with reduced surgical success in paediatric RD.
Abstract

More Related Videos

Scleral Cross-linking Using Riboflavin and Ultraviolet-A Radiation for Prevention of Axial Myopia in a Rabbit Model05:56

Scleral Cross-linking Using Riboflavin and Ultraviolet-A Radiation for Prevention of Axial Myopia in a Rabbit Model

Published on: April 3, 2016

Related Concept Videos

Focusing of Light in the Eye01:16

Focusing of Light in the Eye

Light rays enter the eye through the cornea, a transparent dome-shaped tissue that is the eye's outermost layer. The cornea bends or refracts, light rays traveling to the pupil. The shape of the cornea determines how much of the light is bent and whether the image will be focused correctly on the retina at the back of the eye. Once the light has passed through both refraction layers, it converges into a single focal point onto a small area. This is where photoreceptors start transforming...
Diabetic Retinopathy01:27

Diabetic Retinopathy

DefinitionDiabetic retinopathy is a microvascular complication of diabetes affecting the retinal blood vessels.Risk FactorsDiabetic retinopathy is present in almost all individuals with type 1 diabetes and more than 60% of those with type 2 diabetes after two decades of disease.The risk increases with poor glycemic control, hypertension, dyslipidemia, smoking, pregnancy, and puberty.Although cataracts and glaucoma are also more frequent in people with diabetes, retinopathy remains the leading...
Glaucoma: Overview01:25

Glaucoma: Overview

Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...