Related Experiment Video
Updated: Mar 29, 2026
Retinal Detachment Model in Rodents by Subretinal Injection of Sodium Hyaluronate
Published on: September 11, 2013
Clinical characteristics and surgical outcomes of pediatric rhegmatogenous retinal detachment
Bulent Gurler1, Erol Coskun2, Veysi Öner3
1Department of Ophthalmology, Fatih University Medicine School, Istanbul, Turkey.
Insights
Pediatric rhegmatogenous retinal detachment (RRD) is often caused by myopia or trauma. While both conditions have similar surgical outcomes, trauma-related RRD shows better final visual acuity in children.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Retinal Diseases
Background:
- Pediatric rhegmatogenous retinal detachment (RRD) is a rare but serious condition.
- Understanding the specific characteristics and outcomes in children is crucial for effective management.
Purpose of the Study:
- To analyze the clinical characteristics and surgical results of pediatric RRD.
- To compare outcomes between RRD caused by myopia and trauma in pediatric patients.
Main Methods:
- Retrospective analysis of medical records for 30 eyes of 29 pediatric patients (<18 years) undergoing vitreoretinal surgery for RRD.
- Data collected included demographics, etiology, ocular factors, surgical management, and visual outcomes.
- Subgroup analysis comparing patients with myopia versus trauma as the primary etiology.
Main Results:
- The most common causes of pediatric RRD were high myopia (40%) and trauma (36.6%).
- Functional success rates were 70% after primary surgery and 80% after secondary surgeries.
- While anatomical success rates were similar, the trauma group demonstrated significantly better postoperative best-corrected visual acuity (BCVA) compared to the myopia group (p=0.013).
Conclusions:
- Myopia and trauma are the leading causes of RRD in the pediatric population.
- Surgical outcomes for pediatric RRD are generally favorable, with trauma-associated cases showing superior visual recovery.
Abstract:
The objective of this study was to analyze the characteristics and surgical results of pediatric rhegmatogenous retinal detachment (RRD). The medical records of 30 eyes of 29 patients younger than 18 years of age who underwent vitreoretinal surgery due to RRD were analyzed. The gender, age, laterality, duration of presenting symptom, etiology, ocular and systemic co-morbidities, type of breaks, lens status, presence of proliferative vitreoretinopathy (PVR) and its grade, initial and final best-corrected visual acuities (BCVAs), surgical management, number of operations, duration of follow-up, functional and anatomical success, and complications were noted. As the most common predisposing factors were trauma (trauma group) and myopia (myopia group), the data of these patients were further analyzed. The mean age was 12.6 ± 3.0 years. There were 23 male (79.3 %) and 6 female (20.6 %) subjects. The most common etiologic factors were high myopia (40 %) and trauma (36.6 %). Functional success rate was 70 % (n = 21) after the primary surgeries and was 80 % (n = 24) after the secondary surgeries. There were no significant differences between the trauma and myopia groups regarding the presence of total retinal detachment, macula-off status, and the rate of PVR worse than grade C. Although the preoperative mean BCVA and the initial and final retinal reattachment rates of the groups were statistically similar, trauma group had significantly higher postoperative mean BCVA compared to myopia group (p = 0.013). Myopia and trauma were the most common etiologic factors for RRD in children. The visual outcomes of trauma-associated RRD were better than those of myopia-associated RRD.
