Clinical profile and outcomes of rhegmatogenous retinal detachment related to trauma in pediatric population

Sindal, Manavi D; Gondhale, Harshal; Srivastav, Khushboo

doi:10.1016/j.jcjo.2020.12.001

Cited by 7 publications

(7 citation statements)

References 14 publications

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“…19,22 A potential confounder for the increased anatomic success rate associated with SB in our study is that SB is typically reserved for mild RRD cases, while vitrectomy and combined SB with vitrectomy are typically used in patients with open-globe injuries or severe PVR. 18,22 The majority of patients in our study were male (73%), which aligns with the percentages in previous studies (71% to 80%). [2][3][4]6,[12][13][14][15] This might be because 46% of our cases were the result of trauma, and 80% of these patients were male.…”

Section: Discussionsupporting

confidence: 92%

“…3,13,17 In addition, trauma is associated with a higher risk for complications, including PVR, as well as an overall poor prognosis. 18 Our high incidence of trauma at a tertiary care center and the inclusion of open-globe injuries could explain why our anatomic success rate was at the lower end of average success rates. In other patients in our study, the lack of anatomic success was associated with the development of band keratopathy, chronicity at initial presentation, and total RD.…”

Section: Discussionmentioning

confidence: 87%

Section: Discussionmentioning

confidence: 99%

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Pediatric Rhegmatogenous Retinal Detachments: Etiologies, Clinical Course, and Surgical Outcomes

Sparks

Davila

et al. 2023

Journal of VitreoRetinal Diseases

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Purpose: To describe the predisposing factors, clinical course, and surgical methods of pediatric rhegmatogenous retinal detachment (RRD) and determine which factors affect anatomic success. Methods: Data of patients 18 years or younger who had surgical repair for RRD from January 1, 2004, to June 31, 2020, with a minimum of 6 months of follow-up were retrospectively analyzed. Results: The study evaluated 101 eyes of 94 patients. Of the eyes, 90% had at least 1 predisposing factor to pediatric RRD, including trauma (46%), myopia (41%), prior intraocular surgery (26%), and congenital anomaly (23%); 81% had macula-off detachments and 34% had proliferative vitreoretinopathy (PVR) grade C or worse at presentation. The presence of PVR grade C or worse ( P = .0002), total RRD ( P = .014), and vitrectomy alone at first surgery ( P = .0093) were associated with worse outcomes. Patients who had scleral buckle (SB) alone at the first surgery had statistically higher rates of anatomic success than those who had vitrectomy alone or combined with SB ( P = .0002). After the final surgery, 74% of patients achieved anatomic success. Discussion: The majority of cases in this study were associated with 1 of the 4 risk factors predisposing to pediatric RRD. These patients often present late with macula-off detachments and PVR grade C or worse. The majority of patients achieved anatomic success after surgical repair using SB, vitrectomy, or a combination.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 87%

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Pediatric Rhegmatogenous Retinal Detachments: Etiologies, Clinical Course, and Surgical Outcomes

Sparks

Davila

et al. 2023

Journal of VitreoRetinal Diseases

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“…Since the silicone oil in the capsule will not be in direct contact with the aqueous humor, the silicone oil is not likely emulsi ed [6,21] . Among the patients reviewed in this study, the retinal reattachment rate after FCVB implantation was 100%, which was higher than the reattachment rate of posttraumatic retinal detachment treated with vitrectomy combined with inert gas or silicone oil lling, which was 73-89.6% as found in previous studies [22][23][24] .…”

Section: Discussionsupporting

confidence: 42%

Study on Maintenance of Eyeball Morphology by Foldable Capsular Vitreous Body in Severe Ocular Trauma

Wang

Dou

et al. 2023

Preprint

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Objectives: Explore the feasibility and safety of using foldable capsular vitreous body (FCVB) in managing severe ocular trauma and silicone oil-dependent eyes. Methodology: This is a retrospective study that analyzed 61 ocular trauma patients (61 eyes) that were presented to the Department of Eye Emergency, Hebei Eye Hospital from May 1, 2018, to May 31, 2019, which included 51 male patients (51 eyes) and 10 female patients (10 eyes) with an average age of (44.98 ±14.60) years old. The oldest patient was 75 years old and the youngest was 8 years old. These cases represented 51 eyes with severe eyeball rupture and 10 eyes with severe, complicated ocular trauma, which became silicone oil-dependent after the operation. These patients received FCVB implants and their visual acuity, intraocular pressure, and the changes on their eye axis, cornea, retina, and the state of FCVB were recorded after the operation. Results: The operations were successful for all patients and the implants were in the correct positions upon the completion of the operation. All 61 patients cleared a follow-up window of 1-6 months with no reports of significant changes in their visual acuity. Among the patients, 91.8% reported normal intraocular pressure, the retinal reattachment rate reached 100%, and the eyeball atrophy control rate reached 100%. There was no report of rupture of the FCVB allergies to silicone, intraocular infection, intraocular hemorrhage, silicone oil emulsification, or sympathetic ophthalmia. Conclusions: Foldable capsular vitreous bodies (FCVBs) designed to mimic natural vitreous bodies are suitable as long-term ocular implants that can provide sustained support for the retina without the need for any special postoperative postures. Their barrier function may effectively prolong the retention time of the filling medium and prevent various complications caused by direct contact of the eye tissues with the filling medium.

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“…Open globe injury related detachments have poorer prognosis compared to other types of detachments. Sindal et al 31 reported prethisis to be as high as 33% in open globe injuries and Sarrazin et al 32 reported a reattachment rate in open globe injuries of 46%.…”

Section: Discussionmentioning

confidence: 99%

Pars Plana Vitrectomy vs Combined Pars Plana Vitrectomy-Scleral Buckle for Primary Repair of Pediatrics Retinal Detachment

Taisan¹,

Alshamrani²,

AlZahrani³

et al. 2021

OPTH

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Purpose To evaluate the outcome of pars plana vitrectomy (PPV) and combined pars plana vitrectomy with scleral buckle (PPV-SB) in the primary pediatrics rhegmatogenous retinal detachment repair. Design A retrospective cohort study. Methods A retrospective study was conducted in patients under 18 years of age, who presented with rhegmatogenous retinal detachment at King Khaled Eye Specialist Hospital between January 2014 and October 2018. Primary measurable outcomes were single surgery success rate (SSSR) and rate of postoperative complications. Results A total of 122 eyes of 117 patients were included in the study; 80 eyes in PPV group and 42 eyes in PPV-SB group. Mean follow-up period after surgery was 18.2 months ±11 months. SSSR was 76.3% (n=61) and 66.7% (n=28) for PPV and PPV-SB, respectively. No statistically significant difference was found between the two methods of RRD repair in single surgery success rate with an OR of 1.3 ( P =0.45). Complication rates were comparable in both groups in the last follow-up. Conclusion In this series, PPV and PPV-SB have comparable results in regard to anatomical success and rate of postoperative complications. More complicated cases were selected to undergo PPV-SB upon surgeons’ preference.

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Clinical profile and outcomes of rhegmatogenous retinal detachment related to trauma in pediatric population

Cited by 7 publications

References 14 publications

Pediatric Rhegmatogenous Retinal Detachments: Etiologies, Clinical Course, and Surgical Outcomes

Pediatric Rhegmatogenous Retinal Detachments: Etiologies, Clinical Course, and Surgical Outcomes

Study on Maintenance of Eyeball Morphology by Foldable Capsular Vitreous Body in Severe Ocular Trauma

Pars Plana Vitrectomy vs Combined Pars Plana Vitrectomy-Scleral Buckle for Primary Repair of Pediatrics Retinal Detachment

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