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[Retinal detachment in young patients]

A Ouertani1, R Zhioua, M el Euch

  • 1Service d'Ophtalmologie, Hôpital Charles Nicolle, Tunis, Tunisie.

Journal Francais D'Ophtalmologie
|January 1, 1994
PubMed
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Juvenile retinal detachment, often caused by trauma or congenital issues, can be successfully treated even with delayed diagnosis. Surgical outcomes show good anatomical success and vision recovery in young patients.

Area of Science:

  • Ophthalmology
  • Retinal Surgery

Context:

  • Pediatric retinal detachment is uncommon, accounting for 12.6% of all cases.
  • Cases in patients under 20 present unique challenges due to etiology and delayed diagnosis.

Purpose:

  • To analyze the characteristics, etiologies, and surgical outcomes of retinal detachment in pediatric patients.
  • To evaluate the effectiveness of surgical interventions for juvenile retinal detachment.

Summary:

  • Retinal detachment in 39 patients under 20 (48 cases) was frequently traumatic (36%) or congenital (36%).
  • Delayed diagnosis (4 months), macula involvement (92%), and extensive detachment (48% total) were common.
  • Surgical treatment (episcleral and/or vitreoretinal) in 36 eyes achieved 78.4% complete anatomical success.
  • Visual acuity recovery varied, with 24% achieving vision ≥2/10.

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Impact:

  • Surgical intervention can lead to good visual recuperation in juvenile retinal detachment, irrespective of diagnostic delay.
  • Understanding etiologies and characteristics aids in optimizing treatment strategies for pediatric retinal detachment.