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Vitreous hemorrhage in children and adolescents in India

Pukhraj Rishi1, Ekta Rishi, Aditi Gupta

  • 1Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralya, Tamil Nadu, India. docrishi@yahoo.co.in

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|February 19, 2013
PubMed

Insights

Vitreous hemorrhage in children is most often caused by trauma, particularly blunt injuries. Factors like male sex, older age, unilateral presentation, and surgery correlate with severe vision loss in pediatric patients.

Area of Science:

  • Ophthalmology
  • Pediatric Medicine
  • Trauma Research

Background:

  • Vitreous hemorrhage in pediatric patients is a significant cause of vision impairment.
  • Understanding the etiologies and outcomes is crucial for effective management in young individuals.

Purpose of the Study:

  • To detail the clinical characteristics, causes, treatments, and outcomes of vitreous hemorrhage in patients under 18 in India.
  • To identify risk factors associated with severe visual loss in this demographic.

Main Methods:

  • Retrospective review of medical records for patients with vitreous hemorrhage from January 2000 to January 2010.
  • Analysis of 261 eyes from 246 pediatric patients, categorizing causes, treatments, and visual outcomes.

Main Results:

  • Trauma accounted for 68.5% of vitreous hemorrhage cases, with blunt trauma being more prevalent than penetrating trauma.
  • Spontaneous causes included Eales disease and retinopathy of prematurity sequelae.
  • Male sex, age over 8 years, unilateral presentation, and surgical intervention were linked to severe visual loss.

Conclusions:

  • Posttraumatic vitreous hemorrhage is the predominant cause in children and adolescents, with blunt trauma being more frequent.
  • Risk factors for severe vision loss in pediatric vitreous hemorrhage include male gender, older age, unilateral presentation, and surgical treatment.
Abstract

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