Pediatric Rhegmatogenous Retinal Detachment

Gonzales, Christine R.; Singh, Shipra; Yu, Fei; Kreiger, Allan E.; Gupta, Anurag; Schwartz, Steven D.

doi:10.1097/iae.0b013e3181679f79

Cited by 67 publications

(46 citation statements)

References 10 publications

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“…Myopia is an important factor in Asians2,3 and its frequency ranges from 17% to 38% 1–5. Though there were differences in the prevalence of refractive errors between ethnic groups, Asians had the highest prevalence for myopia 7.…”

Section: Discussionmentioning

confidence: 99%

“…The frequency of trauma has been reported to range from 21.9% to 43%1–5 and most authors report a higher incidence in males than females. In our study, more than one-third of the cases (38%) were in the trauma group and the frequency of males was 89%.…”

Section: Discussionmentioning

confidence: 99%

“…In our study, the frequency of myopia in group 2 was 25% and the frequency of myopia over the entire study was 44%. However, the definition of myopia in previous reports ranged from −3 D to −6 D 1–5. It was reported that the risk for idiopathic RRD increased tenfold compared with a nonmyopic eye, if the refractive error was greater than −3 D 8.…”

Section: Discussionmentioning

confidence: 99%

“…It often presents with a longer duration of detachment, proliferative vitreoretinopathy (PVR), and a macula involving retinal detachment. It also has some predisposing factors, such as trauma, developmental abnormalities, myopia, preceding uveitis, atopic dermatitis, and previous intraocular surgery 1–5. However, the clinical features vary by report.…”

Section: Introductionmentioning

confidence: 99%

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Characteristics and surgical outcomes of pediatric rhegmatogenous retinal detachment

Oono¹,

Uehara²,

Haruta³

et al. 2012

OPTH

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PurposeTo describe the characteristics and surgical outcomes of pediatric rhegmatogenous retinal detachment.MethodsA retrospective study of pediatric patients (15 years old or younger) who had undergone primary surgery for rhegmatogenous retinal detachment was conducted. Patients were divided into five groups according to the predisposing factors: trauma (group 1), myopia (group 2), atopic dermatitis (group 3), congenital or developmental anomalies (group 4), and others (group 5).ResultsA total of 48 eyes of 44 patients were included in this study. There were 18 eyes (37.5%) in group 1, twelve eyes (25.0%) in group 2, six eyes (12.5%) in group 3, five eyes (10.4%) in group 4, and seven eyes (14.6%) in group 5. The initial retinal reattachment rate was 89% in group 1, 100% in group 2, 83% in group 3, 20% in group 4, and 86% in group 5 (P = 0.002). The final retinal reattachment rate was 100% in group 1, 100% in group 2, 100% in group 3, 80% in group 4, and 86% in group 5 (P = 0.16). The frequency of visual acuity of 0.1 or better after surgery was 100% in group 1, 92% in group 2, 83% in group 3, 40% in group 4, and 71% in group 5 (P = 0.01).ConclusionThe overall surgical outcome was successful, but the patients in group 4 had the lowest initial reattachment rate and the worst visual prognosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Characteristics and surgical outcomes of pediatric rhegmatogenous retinal detachment

Oono¹,

Uehara²,

Haruta³

et al. 2012

OPTH

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“…Wang et al14 reviewed 278 patients and found blurring of vision was the most common complaint. Gonzales et al37 reported that 46% of patients have presenting symptoms pointing to RD.…”

Section: Discussionmentioning

confidence: 99%

Rhegmatogenous retinal detachment in children 16 years of age or younger

Alzaaidi¹,

Al-Rashaed²,

Al-Harthi³

et al. 2013

OPTH

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PurposeTo study the anatomical and visual outcomes and prognostic factors that may predict the outcomes of rhegmatogenous retinal detachment (RRD) in children.MethodsA retrospective chart review was performed for patients 16 years of age or younger who underwent retinal reattachment surgery for RRD at the King Abdulaziz University Hospital from 1996 to 2005 and the King Khalid Eye Specialist Hospital from 2002 to 2006, Riyadh, Saudi Arabia. Good visual outcome was defined as ≥20/200. The association between two categorical variables was evaluated with the Chi-squared test or the exact test, as appropriate. Predictors for RRD and good final visual acuity were identified by conducting stepwise logistic regression analysis. P < 0.05 was statistically significant.ResultsThe study population comprised 148 patients (166 eyes). There were 104 (70%) males and 44 (30%) females. Mean age at presentation was 8.33 ± 3.26 years (range 1.5–16 years). The retina was reattached after one surgical procedure in 106 (63.8%) eyes and reattached in 130 (78.3%) eyes after multiple surgeries. Factors predicting recurrence after the first surgery were myopia (P = 0.028), proliferative vitreoretinopathy (PVR) at presentation (P = 0.024), and total retinal detachment (P = 0.032). Good final visual outcome was achieved in 60 (44.4%) eyes. Predictors of good visual acuity were: good visual acuity at presentation (P < 0.001); absence of PVR at presentation (P < 0.001); one quadrant of retinal detachment (P = 0.0024); macula on (P = 0.0107); absence of primary repair of a ruptured globe (P = 0.0059); no pars plana vitrectomy (PPV) (P = 0.0123); clear phakic lens at follow-up (P < 0.001); absence of postoperative complications (P < 0.001); absence of recurrence of RRD (P < 0.001); and absence of epiretinal membrane (P = 0.0088). Logistic regression analysis indicated that recurrence of RRD was associated with myopia and previous congenital cataract surgery; good final visual outcome was associated with macula on detachment and poor visual outcome was associated with recurrence of RRD and occurrence of postoperative complications and previous repair of a ruptured globe.ConclusionRRD in children is usually associated with a predisposing factor, a high rate of PVR, and total retinal detachment. Despite late diagnosis and the presence of PVR, favorable anatomical and visual outcomes can be achieved.

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Current Concepts and Management of Severely Traumatized Tissues in the Inner Coatings (The Posterior Segment: The Ciliary Body, the Choroid, and the Retina) of the Globe: Mechanical Injuries (Open Globe Without Intraocular Foreign Body and Without Endophthalmitis)

Güreli̇k

Sül

2016

Current Concepts and Management of Eye Injuries

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Pediatric Rhegmatogenous Retinal Detachment

Abstract: Pediatric RRD is often associated with a predisposing factor. Favorable anatomical and visual outcomes are possible, and lesions in the fellow eye are common.

Cited by 67 publications

References 10 publications

Characteristics and surgical outcomes of pediatric rhegmatogenous retinal detachment

Characteristics and surgical outcomes of pediatric rhegmatogenous retinal detachment

Rhegmatogenous retinal detachment in children 16 years of age or younger

Current Concepts and Management of Severely Traumatized Tissues in the Inner Coatings (The Posterior Segment: The Ciliary Body, the Choroid, and the Retina) of the Globe: Mechanical Injuries (Open Globe Without Intraocular Foreign Body and Without Endophthalmitis)

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