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Published on: September 19, 2025
Clinical Features and Outcome of Paediatric Retinal Detachment
Teresa Barth1, Florian Zeman, Horst Helbig
1Department of Ophthalmology, University Medical Centre Regensburg, Regensburg, Germany.
Insights
Paediatric retinal detachment (RD) is a serious eye condition in children. This study found high recurrence rates and identified key risk factors like trauma and ocular abnormalities, highlighting the need for advanced surgical approaches.
Area of Science:
- Ophthalmology
- Pediatric Medicine
- Retinal Surgery
Background:
- Retinal detachment (RD) in children is a significant cause of vision impairment.
- Understanding the unique risk factors and outcomes in pediatric RD is crucial for effective management.
Purpose of the Study:
- To evaluate the clinical characteristics of pediatric retinal detachment.
- To assess the surgical outcomes and recurrence rates in children with RD.
Main Methods:
- Retrospective analysis of 95 eyes from 87 children under 18 with RD.
- Evaluation of risk factors, RD morphology, surgical interventions, and functional results.
Main Results:
- Common risk factors included ocular trauma (40%), congenital abnormalities (37%), and prior ocular surgery (27%).
- The primary reattachment rate was 44%, with an overall recurrence rate of 39% after surgery.
- A significant proportion of eyes required multiple surgical procedures for reattachment.
Conclusions:
- Pediatric RD is a sight-threatening condition often associated with complex factors.
- Delayed diagnosis and strong vitreous adherence can complicate treatment.
- Advancements in surgical techniques hold promise for improving outcomes in pediatric RD.
Purpose:
The aim of this study was to assess the clinical features and outcome of paediatric retinal detachment (RD).
Methods:
Ninety-five eyes of 87 children under 18 years of age with RD were assessed. The risk factors, morphology of RD, therapeutic approach and functional results were evaluated.
Results:
Sixty-seven boys and 20 girls with a mean age of 10.4 years (standard deviation 5.5) presented with RD. The following risk factors were identified: myopia (23%), congenital or developmental ocular abnormalities (37%), history of ocular trauma (40%) and previous ocular surgery (27%). Seventy-seven (81%) eyes underwent surgery. The primary reattachment rate was 44%. In 18%, reattachment was achieved after several surgeries. The overall recurrence rate after surgical reattachment was 39%.
Conclusions:
Paediatric RD is a sight-threatening condition. Often, aggravating factors, such as delayed diagnosis, hereditary ocular abnormalities or strong vitreous adherence, are present. Hopefully, modern surgical techniques may contribute to a better outcome of RD in the future.
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