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Retinal Detachment Model in Rodents by Subretinal Injection of Sodium Hyaluronate
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Published on: September 11, 2013

Retinal detachment in paediatric patients.

Saemah Nuzhat Zafar1, Nadeem Qureshi, Nadia Azad

  • 1Department of Ophthalmology, Al-Shifa Trust Eye Hospital, Rawalpindi. saemahsaqib@yahoo.co.uk

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|April 5, 2013
PubMed
Summary

In pediatric retinal detachment, myopia and trauma are leading causes. Pars plana vitrectomy and scleral buckle are the most common surgical interventions for these conditions.

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Area of Science:

  • Ophthalmology
  • Retina and Vitreous Surgery
  • Pediatric Ophthalmology

Background:

  • Retinal detachment (RD) in children presents unique challenges compared to adults.
  • Understanding the etiology and surgical management of pediatric RD is crucial for visual prognosis.

Purpose of the Study:

  • To investigate the primary causes of retinal detachment in pediatric patients.
  • To evaluate the surgical procedures employed for treating retinal detachment in children.

Main Methods:

  • A retrospective case series was conducted from January 2006 to May 2009.
  • Data from 281 eyes of 258 pediatric patients (aged 0-18 years) undergoing vitreoretinal surgery were analyzed.
  • Surgical logs were reviewed to determine RD types, causes, and interventions, including vitrectomy, scleral buckle, and tamponades.

Main Results:

  • Myopia (22.1%) and trauma (18.1%) were the most frequent causes of retinal detachment.
  • Total retinal detachment occurred in 33.5% of cases, followed by recurrent RD (11.4%) and giant retinal tears (10%).
  • Pars plana vitrectomy (56.6%) and scleral buckle (45.9%) were the predominant surgical techniques, with silicone oil used in 53% of cases.

Conclusions:

  • Myopia and trauma are the most common etiologies for retinal detachment in the pediatric population.
  • Total retinal detachment is the most prevalent type encountered.
  • Pars plana vitrectomy is the most frequently utilized surgical procedure, followed by scleral buckle surgery.