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RETINAL DETACHMENT SURGERY IN A PEDIATRIC POPULATION: Visual and Anatomic Outcomes
Sarah P Read1, Hassan A Aziz1, Ajay Kuriyan1
1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, Florida.
Retina (Philadelphia, Pa.)
|September 1, 2017
Summary
Pediatric retinal detachments (RDs) have varied causes and outcomes. Rhegmatogenous RDs showed better surgical success and vision than tractional RDs (TRDs).
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Retinal Diseases
Background:
- Pediatric retinal detachments (RDs) differ significantly from adult RDs in cause, anatomy, and prognosis.
- Common pediatric RD mechanisms include tractional (TRD), rhegmatogenous, traumatic, exudative, and hemorrhagic types.
Purpose of the Study:
- To examine the visual and anatomical outcomes of pediatric retinal detachments (RDs) following surgical repair.
- To compare outcomes across different etiologies of pediatric RD.
Main Methods:
- Retrospective consecutive case series of pediatric patients (birth to 15 years) undergoing RD surgery.
- Data collected from 2002 to 2013 at a single academic institution.
Main Results:
- 206 patients (231 eyes) were analyzed, with 12% having bilateral RDs.
- Tractional RD (TRD) comprised 29%, rhegmatogenous RD 22%, traumatic RD 26%, and other types 23%.
- Rhegmatogenous RDs had higher anatomical success (78%) and better final visual acuity (>20/200 in 39%) compared to TRDs (39% anatomical success, 10% final visual acuity >20/200).
Conclusions:
- Visual and anatomical outcomes for pediatric retinal detachments (RDs) vary significantly by type.
- Rhegmatogenous RDs demonstrated superior anatomical success and globe conservation compared to TRDs, which had poorer visual and anatomical results.
