Clinical Characteristics and Surgical Outcomes of Pediatric Rhegmatogenous Retinal Detachment in Taiwan

Evaluation and management of pediatric rhegmatogenous retinal detachment

“…It is hypothesized that trauma from rubbing the eyes can lead to retinal detachments in these cases as retinal dialysis is common 55 and has been noted in up to 75% of these cases. 4 This association is not noted in the Western literature. As atopic dermatitis is not uncommon in this age group, it is not clear whether there is a causal relationship between the two diseases.…”

“…3,4,9,55 In these series it is suggested to be the causative factor in 3-9% of cases. It is hypothesized that trauma from rubbing the eyes can lead to retinal detachments in these cases as retinal dialysis is common 55 and has been noted in up to 75% of these cases.…”

“…Myopia alone is also an important factor, especially in the older pediatric patients and in East Asian populations (Table 1). 3,4,17 In some series, one-third to over half of all patients have more than one of these risk factors. A number of congenital conditions are worthy of further discussion.…”

“…Inferior retinal dialysis is commonly seen in the setting of severe blunt trauma. 4,8,14 Specific causative factors Trauma A spontaneous retinal detachment in a child with a normal ocular anatomy is exceedingly rare. Trauma, on the other hand, is a leading cause of retinal detachments in children (Table 1).…”

“…1 Pediatric RRD is much less common, with an annual incidence only 0.38-0.69 per 100,000, 2 making up only 0.5-8% of all retinal detachments. [2][3][4][5][6][7][8][9] A number of case series of pediatric RRD have been reported (Table 1). [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Most of these case series include patients up to 18 years of age and the mean or median ages of presentation that are reported are 9-13 years of age.…”