Characteristics and outcomes of paediatric rhegmatogenous retinal detachment treated by segmental scleral buckling plus an encircling element

Eye
A D SadehA Loewenstein

Abstract

To evaluate the outcome of paediatric rhegmatogenous retinal detachment treated by segmental scleral buckling plus an encircling element. A retrospective review was carried out of 15 consecutive paediatric patients (16 eyes). Thirteen of the 15 patients were male (87%), 2 (13%) were female. Their average age was 10.9 years (range 6-18 years; median 10 years). Retinal detachment was caused by trauma in 9 of 16 eyes (56%), high myopia in 5 of 16 eyes (31%) and had an unknown cause in 2 of 16 eyes (13%). Diagnosis was delayed by more than 1 month in 10 of 16 eyes (63%). The visual acuity was 6/60 or worse and the macula was detached on presentation in 13 of 16 eyes (81%). Two of 16 eyes (13%) had mild proliferative vitreoretinopathy. Final reattachment was achieved in all cases. Of 11 eyes with a follow-up of 6 months or more, there was improvement in visual acuity in 7 (63%), and a best-corrected visual acuity of 6/20 or better in 5 (46%). Paediatric rhegmatogenous retinal detachment is characterised by a delay in diagnosis and a high degree of macular involvement on presentation. Anatomical reattachment with segmental scleral buckling plus an encircling element was successful in all eyes, and improvement of visual acuity was ach...Continue Reading

References

Jun 1, 1978·Ophthalmology·R L Winslow, W Tasman
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Jan 1, 1987·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·S OkinamiY Tano
Jul 8, 1998·Retina·J MoisseievG Treister

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Citations

Jul 18, 2009·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·C BierG Rudolph
Apr 8, 2006·Eye·R M SheardP M Sullivan
Jan 1, 2015·Taiwan Journal of Ophthalmology·Yijun Hu, Shibo Tang
Mar 6, 2015·Retina·Marie-Hélène ErreraEric Ezra
Dec 22, 2015·Acta Ophthalmologica·Qi ZhaoJost B Jonas

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