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Published on: September 11, 2013
Paediatric retinal detachment: a review
Raffaele Nuzzi1, Carlo Lavia1, Roberta Spinetta1
1Eye Clinic, Department of Surgical Sciences, University of Turin, Via Juvarra 19, Turin 10122, Italy.
Insights
Paediatric retinal detachment (PRD) presents unique challenges compared to adult cases, often involving total detachment and impacting vision. This review explores various PRD types, their causes, and treatment outcomes in children.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Background:
- Paediatric retinal detachment (PRD) is a rare but complex condition distinct from adult retinal detachment.
- PRD presents challenges due to higher rates of total detachment, delayed diagnosis, and bilateral involvement.
- Achieving anatomical success in PRD does not always correlate with functional recovery, with risks of complications like amblyopia.
Purpose of the Study:
- To review and summarize the current literature on paediatric retinal detachment.
- To discuss the epidemiology, etiology, and clinical presentation of PRD.
- To analyze therapeutic approaches and outcomes for different types of PRD.
Main Methods:
- Comprehensive review of available literature from recent decades.
- Inclusion of rhegmatogenous retinal detachment, retinopathy of prematurity-related PRD, and Coats'-related PRD.
- Synthesis of data on disease characteristics, management strategies, and patient outcomes.
Main Results:
- PRD etiology, anatomy, management, and prognosis differ significantly from adult retinal detachments.
- Factors such as total detachment, late diagnosis, and bilateral involvement complicate PRD cases.
- Outcomes are often affected by postsurgical complications, refractive errors, and amblyopia.
Conclusions:
- PRD requires specialized approaches due to its unique challenges and potential for poor functional recovery.
- Further research and refined management strategies are needed to improve outcomes for children with retinal detachment.
- This review provides a comprehensive overview of PRD, aiding clinicians in understanding and managing this condition.
Abstract:
Paediatric retinal detachment (PRD) is an uncommon and challenging disease; it differs from adult detachments in etiology, anatomical characteristics, management and prognosis. PRDs can be particularly challenging, even for the most expert paediatric surgeons due to the higher prevalence of total retinal detachments, late diagnosis and bilateral involvement with respect to those which occur in adulthood. Moreover, the anatomical success, when achieved, is frequently not related to a functional recover. Postsurgical adverse events, refractive errors and amblyopia may additionally undermine the final outcome. Up to date there are few reviews regarding the approach of retinal detachment in children, mainly dealing with rhegmatogenous retinal detachment. In this review, rhegmatogenous, retinopathy of prematurity-related and Coats'-related PRDs were considered. The available literature from the last decades were reviewed and summarized. Epidemiology, etiology and clinical presentation, together with therapeutic approaches and outcomes have been reviewed and discussed.
