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[Long-term results of vitrectomy in children and adolescents]
J Urbanowicz-Nowakowska1, A Wesołek-Czernik, K Dziegielewski
1Katedry i Kliniki Chorób Oczu AM w Lodzi.
Insights
Vitrectomy is a successful treatment for pediatric eye conditions, including trauma and infection, achieving high rates of retinal reattachment and improved vision. This procedure in children and adolescents shows fewer complications than in adults.
Area of Science:
- Ophthalmology
- Pediatric Surgery
Context:
- Vitrectomy is a surgical procedure to treat various vitreoretinal diseases.
- Pediatric ocular conditions present unique challenges in diagnosis and management.
Purpose:
- To assess the efficacy and safety of vitrectomy in treating children and adolescents.
- To evaluate outcomes for various indications including trauma, infection, and hemorrhage.
Summary:
- A study of 44 pediatric patients (ages 8-17) undergoing vitrectomy for conditions like complicated intraocular trauma (35 eyes), Toxocara canis infection (6 eyes), vitreous hemorrhage (2 eyes), and diabetic complications (1 eye).
- The mean follow-up was 15 months. Anatomic success (attached retina) was achieved in 85% of cases, with 50% reaching visual acuity of 5/50 or better.
- Outcomes remained stable for 12 months post-surgery, indicating sustained functional success.
Impact:
- Vitrectomy is established as a primary treatment for complicated pediatric intraocular trauma.
- The procedure facilitates visual rehabilitation following ocular trauma in young patients.
- Vitrectomy in pediatric populations demonstrates a lower complication rate compared to adult patients.
Purpose:
Assessment of vitrectomy in the treatment of children and adolescents.
Material And Methods:
We evaluated the treatment of 44 children between the ages of 8 and 17 who underwent vitrectomy from January 1991 to January 1996. In 35 eyes indication for vitrectomy was complicated intraocular trauma, in 6 eyes Toxocara canis infection, in 2 eyes idiopathic vitreous hemorrhage and in eye complication due to diabetes. The mean follow-up period of study was 15 months.
Results:
The anatomic success category included eyes with attached retinas and a final visual acuity above 1/50 which was achieved in 85% of operated eyes. Within this group 50% of the eyes had a final visual acuity of 5/50 or better. Anatomic and functional success were stable for a period of 12 months after vitrectomy.
Conclusions:
1. Vitrectomy is the primary method of treatment for complicated intraocular trauma in children. 2. Through vitrectomy we achieved functional success which facilitated visual rehabilitation after ocular trauma. 3. Vitrectomy in children and adolescents have fewer complications when compared to vitrectomy in adults.