Related Experiment Video
Updated: Jul 23, 2026
Retinal Detachment Model in Rodents by Subretinal Injection of Sodium Hyaluronate
Published on: September 11, 2013
Risk factors and prognosis of pediatric rhegmatogenous retinal detachment in Egypt: a university hospital based study
Mohamed Gaber Eissa1, Mohamad Amr Salah Eddin Abdelhakim1, Tamer Ahmed Macky1
1Department of Ophthalmology, Kasr Al Ainy Hospital, Faculty of Medicine, Cairo University, Cairo 11431, Egypt.
Insights
Rhegmatogenous retinal detachment (RRD) presents differently across age groups. Pediatric RRD involves more extensive detachment, while adults show higher rates of myopia and retinal degenerations. Elderly patients have increased cataracts and intraocular pressure.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Public Health
Background:
- Rhegmatogenous retinal detachment (RRD) is a sight-threatening condition requiring prompt surgical intervention.
- Understanding age-specific predisposing factors and clinical features of RRD is crucial for tailored management strategies.
- Previous studies have not comprehensively compared RRD across pediatric, adult, and elderly populations.
Purpose of the Study:
- To investigate and contrast the predisposing factors and clinical characteristics of RRD in pediatric, adult, and elderly patients.
- To identify age-related trends in RRD etiology and presentation.
- To inform clinical practice and future research directions for RRD management.
Main Methods:
- An observational, analytic, cross-sectional study was conducted on 142 patients undergoing surgery for RRD.
- Patients were categorized into three age groups: pediatric (<18 years), adult (18-60 years), and elderly (>60 years).
- Data collected included demographics, clinical features, predisposing factors (myopia, aphakia, trauma, retinal degenerations), and surgical outcomes.
Main Results:
- Elderly patients exhibited significantly higher intraocular pressures and rates of cataracts (P=0.04).
- Pediatric RRD cases presented with more extensive detachment (4 quadrants) compared to adults and elderly (2 quadrants), though not statistically significant (P=0.242).
- Myopia and peripheral retinal degenerations were more prevalent in adults (P=0.049, P=0.035), while blunt trauma was more frequent in pediatric eyes (P=0.052).
Conclusions:
- While PVR rates were similar across age groups, pediatric RRD showed a higher rate of total detachment.
- Blunt trauma is a more common cause in pediatric RRD, whereas myopia and retinal degenerations are more frequent in older individuals.
- Pars plana vitrectomy (PPV) with silicone oil tamponade was the predominant surgical approach across all age groups.
Aim:
To study and compare the predisposing factors and clinical features of pediatric, adult, and elderly rhegmatogenous retinal detachment (RRD).
Methods:
This is an observational analytic cross-sectional study in which patients with RRD admitted for surgery during 6mo period were divided into 3 age groups: pediatric (<18y), adult (18-60y), and elderly (>60y). Patients' demographic data, clinical features, RRD predisposing factors/features including myopia (axial length ≥26.5 mm), aphakia/pseudophakia, blunt trauma, peripheral retinal degenerations, history of RRD in the fellow eye, and surgical interventions/findings were recorded and analyzed.
Results:
Totally 142 patients (142 eyes) were studied: 26 (18.31%) pediatrics, 86 (60.56%) adults, and 30 (21.13%) elderly. Elderly patients had a significantly higher intraocular pressures and cataracts compared to the other 2 groups (P=0.04). The RRD extent was larger in pediatric group (mostly 4 quadrants) compared to adults and elderly (mostly 2 quadrants), but it was not statistically insignificant (P=0.242). There were not statistically significantly differences in proliferative vitreoretinopathy (PVR) rate, posterior vitreous detachment (PVD) rate, number, site, shape, and size of breaks in three groups. All three groups had macular detachment in all eyes. Myopia and peripheral retinal degenerations were found to be more significant in adults (P=0.049, P=0.035, respectively), while blunt trauma was higher but insignificant in pediatric eyes (P=0.052). Pars plana vitrectomy (PPV) with silicone oil as a tamponade was the most used surgery in all groups.
Conclusion:
There are no significant difference in PVR rate in pediatric eyes but a significant higher rate of total RRD. Blunt trauma is more frequent in pediatrics eyes while myopia and/or peripheral retinal degenerations are more frequent in older ages. The rate of PPV as a choice for surgery is similar among all age groups.
