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[Remote results of surgical treatment rhegmatogenous retinal detachment in children]
A V Khvatova1, G I Zakharova, I M Mosin
1NII of Eyes Diseases, Moscow.
Insights
Surgical treatment for rhegmatogenous retinal detachment with proliferative vitreoretinopathy (PVR) in children achieved high success rates. Outcomes depend on the disease
Area of Science:
- Ophthalmology
- Retinal Surgery
- Pediatric Ophthalmology
Context:
- Rhegmatogenous retinal detachment (RRD) complicated by proliferative vitreoretinopathy (PVR) presents a significant challenge in pediatric eye care.
- Surgical intervention is often necessary to restore retinal integrity and visual function in affected children.
Purpose:
- To assess the efficacy and outcomes of surgical treatment for pediatric patients with RRD complicated by PVR.
- To evaluate the long-term results, including retinal reattachment rates, visual acuity improvement, and complication incidence.
Summary:
- This study evaluated 53 children (55 eyes) undergoing surgery for RRD with PVR, with follow-up ranging from 10 months to 6 years.
- Complete retinal adhesion was achieved in 85.5% of cases, and 89.4% experienced improved vision acuity.
- Postoperative complications occurred in 25.5%, but only 10.9% resulted in unfavorable outcomes or recurrent detachment. Recurrence rates were 19% over the follow-up period.
Impact:
- Surgical treatment demonstrates significant efficacy in managing complex pediatric retinal detachments.
- Early and appropriate surgical intervention can lead to favorable visual outcomes and preserve sight in children.
- Understanding the influence of disease origin and preoperative PVR severity is crucial for optimizing surgical strategies and patient management.
Abstract:
The results of surgical treatment of 53 children (55 eyes) with rhegmatogenous detachment of the retina complicated with proliferative vitreoretinopathy (PVR) are assessed. The patients were followed up for 10 months to 6 years. Complete adhesion of the retina after surgery was attained in 85.5% and improvement of vision acuity in 89.4% of patients. Postoperative complications occurred in 25.5%, but in only 10.9% of children they eventuated in an unfavorable outcome of surgery or a relapse of retinal detachment. The disease recurred in 19% of children in the course of follow-up. The efficacy of surgical treatment of detachment of the retina depends on the origin of the disease and severity of preoperative PVR.