Clinical Study
Eye (2007) 21, 1473–1478; doi:10.1038/sj.eye.6702511; published online 28 July 2006
Paediatric vs adult retinal detachment
Presented in part at the 107th American Academy of Ophthalmology Annual Meeting, Anaheim, CA, November, 2003, The Red Sea International Update conference in Ophthalmology, Eilat, Israel, June 2004 and 30th International Congress of Ophthalmology, Sao Paolo, Brazil, February 2006.
The authors do not have financial or propriety interest in any of the products or procedures mentioned in this paper
S Rumelt1,2, L Sarrazin2, E Averbukh2, M Halpert2 and I Hemo2
- 1Department of Ophthalmology, Western Galilee – Nahariya Medical Center, Nahariya, Israel
- 2Hadassah University Hospital, Jerusalem, Israel
Correspondence: S Rumelt, Department of Ophthalmology, Western Galilee – Nahariya Medical Center, PO Box 21, 22100 Nahariya, Israel. Tel: +972 4 9107635; Fax: +972 4 9107611; E-mail: rumelt@ naharia.health.gov.il
Received 11 March 2005; Accepted 6 June 2006; Published online 28 July 2006.
Abstract
Objective
To evaluate the causes, incidences, characteristics, and treatment outcomes of paediatric vsadult retinal detachment.
Patients and methods
One hundred and sixty (136 patients) out of 2408 consecutive retinal detachments (6.6%) at our facility occurred in children under the age of 18 years. Of them, 144 eyes (90%) of 127 (93%) children were treated and compared with a sample of 56 consecutive retinal detachments in 50 adults (over the age of 18 years). The parameters for comparison included cause, type of retinal detachment, its extent, macular involvement, number of tears, number and types of surgery, and the anatomic and functional surgical outcome.
Results
Statistically significant differences were found in the type of retinal detachment. Rhegmatogenous RD was less common (P=0.004), and exudative RD was more common (P=0.021) in the paediatric group. Ocular trauma and ocular syndromes were more common in the paediatric group (P<0.001), while myopia, posterior vitreous detachment, and retinal detachment following cataract surgery were less common in this group compared with adults (P<0.001, <0.001, and 0.001, respectively). Ocular pathologies associated with retinal detachment were more common in the paediatric group (P<0.001). Initial and last visual acuity of >20/400, last visual acuity of >20/40, and retinal complete reattachment were higher in adults (P<0.001).
Conclusions
The type of retinal detachment, causes and outcomes were statistically different between paediatric and adult cases. The less successful functional and anatomical outcomes of retinal detachment surgery in children may reflect the different aetiologies and indicate the need for aetiology-specific treatment strategies according to each aetiology.
Keywords:
Paediatric retinal detachment, adult retinal detachment, children surgical treatment, anatothical outcome, visual outcome
