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Published on: September 11, 2013
Characteristics and surgical outcomes of pediatric rhegmatogenous retinal detachment
Yoshihiko Oono1, Koji Uehara, Masatoshi Haruta
1Department of Ophthalmology, Kurume University School of Medicine, Kurume, Japan.
Insights
This study analyzed pediatric rhegmatogenous retinal detachment surgery outcomes. Congenital anomalies presented the poorest surgical results, highlighting the need for tailored treatment approaches in pediatric retinal detachment.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Retinal Diseases
Background:
- Pediatric rhegmatogenous retinal detachment (RRD) is a rare but serious condition.
- Understanding predisposing factors and surgical outcomes is crucial for effective management.
Purpose of the Study:
- To characterize pediatric RRD cases.
- To evaluate surgical outcomes based on predisposing factors.
Main Methods:
- Retrospective analysis of 48 eyes from 44 pediatric patients (≤15 years) undergoing primary RRD surgery.
- Patients categorized into five groups: trauma, myopia, atopic dermatitis, congenital/developmental anomalies, and others.
Main Results:
- Initial reattachment rates varied significantly by group (P=0.002), with congenital anomalies showing the lowest (20%).
- Final reattachment rates were high overall, but visual acuity outcomes were poorest in the congenital anomalies group (40% with 0.1 or better).
- Trauma and myopia groups demonstrated excellent surgical success and visual outcomes.
Conclusions:
- Surgical outcomes for pediatric RRD are generally successful.
- Patients with congenital or developmental anomalies face poorer initial reattachment rates and visual prognosis compared to other groups.
Purpose:
To describe the characteristics and surgical outcomes of pediatric rhegmatogenous retinal detachment.
Methods:
A retrospective study of pediatric patients (15 years old or younger) who had undergone primary surgery for rhegmatogenous retinal detachment was conducted. Patients were divided into five groups according to the predisposing factors: trauma (group 1), myopia (group 2), atopic dermatitis (group 3), congenital or developmental anomalies (group 4), and others (group 5).
Results:
A total of 48 eyes of 44 patients were included in this study. There were 18 eyes (37.5%) in group 1, twelve eyes (25.0%) in group 2, six eyes (12.5%) in group 3, five eyes (10.4%) in group 4, and seven eyes (14.6%) in group 5. The initial retinal reattachment rate was 89% in group 1, 100% in group 2, 83% in group 3, 20% in group 4, and 86% in group 5 (P = 0.002). The final retinal reattachment rate was 100% in group 1, 100% in group 2, 100% in group 3, 80% in group 4, and 86% in group 5 (P = 0.16). The frequency of visual acuity of 0.1 or better after surgery was 100% in group 1, 92% in group 2, 83% in group 3, 40% in group 4, and 71% in group 5 (P = 0.01).
Conclusion:
The overall surgical outcome was successful, but the patients in group 4 had the lowest initial reattachment rate and the worst visual prognosis.
