Abstract
Purpose To evaluate the outcome of paediatric rhegmatogenous retinal detachment treated by segmentai scierai buckling plus an encircling element.
Methods A retrospective review was carried out of 15 consecutive paediatric patients (16 eyes).
Results Thirteen of the 15 patients were male (87%), 2 (13%) were female. Their average age was 10.9 years (range 6-18 years; median 10 years). Retinal detachment was caused by trauma in 9 of 16 eyes (56%), high myopia in 5 of 16 eyes (31%) and had an unknown cause in 2 of 16 eyes (13%). Diagnosis was delayed by more than 1 month in 10 of 16 eyes (63%). The visual acuity was 6/60 or worse and the macula was detached on presentation in 13 of 16 eyes (81%). Two of 16 eyes (13%) had mild proliferative vitreoretinopathy. Final reattachment was achieved in all cases. Of 11 eyes with a follow-up of 6 months or more, there was improvement in visual acuity in 7 (63%), and a best-corrected visual acuity of 6/20 or better in 5 (46%).
Conclusion Paediatric rhegmatogenous retinal detachment is characterised by a delay in diagnosis and a high degree of macular involvement on presentation. Anatomical reattachment with segmentai scierai buckling plus an encircling element was successful in all eyes, and improvement of visual acuity was achieved in one-half of the eyes which had a follow-up of 6 months or more.
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Sadeh, A., Dotan, G., Bracha, R. et al. Characteristics and outcomes of paediatric rhegmatogenous retinal detachment treated by segmental scierai buckling plus an encircling element. Eye 15, 31–33 (2001). https://doi.org/10.1038/eye.2001.8
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DOI: https://doi.org/10.1038/eye.2001.8
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