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[Evaluation of the surgical treatment of retinal detachment in children. Personal data]
Insights
Retinal detachment in children, often caused by injury, showed high success rates with surgical intervention. Silicone sponge implantation led to successful retina reattachment in most pediatric cases.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Context:
- Retinal detachment in children is a rare but serious condition.
- Trauma is the leading cause of pediatric retinal detachment.
Purpose:
- To evaluate surgical outcomes for pediatric retinal detachment.
- To analyze the efficacy of different surgical techniques.
Summary:
- Twenty-nine children (aged 8-18) with retinal detachment underwent surgical treatment between 1980-1987.
- Most cases (27/29) were due to injury, often involving dialysis at the ora serrata.
- Silicone sponge implantation was the primary surgical method, achieving retina reattachment in 25 out of 29 children.
Impact:
- Surgical intervention, particularly silicone sponge implantation, demonstrates significant success in treating pediatric retinal detachment.
- This study highlights effective management strategies for traumatic retinal detachment in young patients.
Abstract:
Twenty nine children aged 8-18 years with retinal detachment were treated in the period 1980-1987. The cause of detachment was in 27 cases injury and in 2 cases rupture of a congenital retinal cyst. In the majority of cases the detachment was connected with a dialysis at the ora serrata and comprised two quadrants of the fundus' periphery. The operation in 25 children consisted on implantation of a silicone sponge. A hard silicone implant situated intrasclerally with a band round the globe was used in 3 persons. A cerclage of the eye ball with a silicone sponge was performed only in one child. In 25 children the retina reattached after operation.