Primary Scleral Buckling for Pediatric Rhegmatogenous Retinal Detachment

Errera, Marie‐Hélène; Liyanage, Sidath; Moya, Rene; Wong, Sui Chien; Ezra, Eric

doi:10.1097/iae.0000000000000480

Cited by 25 publications

(80 citation statements)

References 25 publications

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“…We therefore avoid entering young eyes if possible, and typically repair pediatric RRDs with scleral buckling. [19][20][21][22] Even if children present with PVR, a primary buckle is often my modality of choice for treatmentnaive eyes. PVR in pediatric eyes that have not been previously vitrectomized tends to be subretinal, and subretinal bands often do not exert substantial traction.…”

Section: Scleral Bucklementioning

confidence: 99%

Practical Pearls in Pediatric Vitreoretinal Surgery

Yonekawa¹,

Fine²

2018

Ophthalmic Surg Lasers Imaging Retina

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Section: Scleral Bucklementioning

confidence: 99%

Practical Pearls in Pediatric Vitreoretinal Surgery

Yonekawa¹,

Fine²

2018

Ophthalmic Surg Lasers Imaging Retina

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“…Aufgrund des zumeist noch anliegenden Glaskörpers und der akkommodationsfähigen Linse besitzen skleraeindellende Maßnahmen bei Kindern einen hohen Stellenwert; bei der Versorgung einer Oradialyse ist die Legung einer limbusparallelen Plombe Therapie der ersten Wahl. Damit kann in 83-90 % die primäre Netzhautanlage erreicht werden [4,5] (▶ Abb. 2 a, b).…”

Section: Traumaassoziierte Netzhautablösungunclassified

“…In Ostasien haben 38 % der Kinder im Alter von 0 bis 18 Jahren, die eine Ablatio erleiden, eine Myopie von > −6 dpt [10], im nicht asiatischen Raum weisen 17 % dieser Kinder mit Ablatio eine Myopie von ≥ 6 dpt [11] bzw. 25 % eine Myopie > 6 dpt auf [5]. Charakteristischerweise können bei jungen myopen Patienten gittrige Degenerationen auftreten.…”

Section: Myopieunclassified

“…Lebensjahr auf, Prädilektionsstellen sind die Meridiane zwischen 5 und 7 Uhr sowie zwischen 11 und 1 Uhr; sie sind vorrangig parallel zur Ora serrata angeordnet mit Hyperplasien des darunter befindlichen Pigmentepithels. Innerhalb dieser gittrigen Degenerationen können vorrangig atrophe Rundforamina auftreten, diese können den Ausgangspunkt für die Ausbildung einer rhegmatogenen Netzhautablösung bilden, Hufeisenforamina treten bei Kindern selten auf [5,10,12].…”

Section: Myopieunclassified

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Netzhautablösung im Kindesalter

Meier

2017

Klin Monatsbl Augenheilkd

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The number of retinal detachments in children is rarely compared to the number of retinal detachments in adults; only 3 - 7% occur in children. The main predisposing factors are trauma, myopia, hereditary vitreoretinopathies, retinopathy of prematurity, malformations and Coats' disease. The most frequent paediatric retinal detachments are trauma-associated and vitreoretinopathies are the most common cause of inherited retinal detachment. Disease-specific surgical treatments are discussed. Episcleral buckling surgery should be the preferred method in any case of clear lens, especially for treatment of oradialysis and well-defined localization of peripherally retinal tears. In those suffering from vitreoretinopathy, primary vitrectomy is necessary. The intravitreal use of VEGF-inhibitors to treat vasoproliferative retinopathy in children is a new and effective tool, but we need further results about safety and side-effects in young patients. The functional and anatomical outcomes of retinal detachment in children are less successful than in adults. Further surgical innovations and etiology-specific treatment strategies are required to improve the outcome in this group.

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“…Myopic retinal detachment secondary to atrophic round holes and without posterior vitreous detachment can be treated primarily with SB with excellent anatomical and visual results [14]. Certainly, few would argue that most retinal detachment arising from retinal dialysis should be buckled, especially in children and young adults [15]. Knowing and doing, however, are two separate things.…”

mentioning

confidence: 99%