Long-Term Results After Scleral Buckling Surgery in Uncomplicated Juvenile Retinal Detachment Without Proliferative Vitreoretinopathy

Häring, Georg; Wiechens, Burkhard

doi:10.1097/00006982-199806000-00001

Cited by 47 publications

(27 citation statements)

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“…We used segmental circumferential solid silicone explants in all cases and no eye was encircled. Subretinal fluid was drained in a high proportion of cases (52.9%), similar to the rate reported by Häring et al 19 Retinal re-attachment was achieved after one operation in 70.6% of cases, and this primary success rate is lower than the 88% reported in other series. 19,20 However, only 24-56% of detachments in these reports were following trauma, and different surgical techniques were used, including placement of an encircling band.…”

Section: Discussionsupporting

confidence: 86%

“…Subretinal fluid was drained in a high proportion of cases (52.9%), similar to the rate reported by Häring et al 19 Retinal re-attachment was achieved after one operation in 70.6% of cases, and this primary success rate is lower than the 88% reported in other series. 19,20 However, only 24-56% of detachments in these reports were following trauma, and different surgical techniques were used, including placement of an encircling band. There was a statistically significant improvement in median VA from 6/36 to 6/24 (P ¼ 0.0419), with the majority of children achieving vision of 6/60 or better (88.2%) and over one-third 6/12 or better.…”

Section: Discussionsupporting

confidence: 86%

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Vitreoretinal surgery after childhood ocular trauma

Sheard

Mireskandari

Ezra

et al. 2006

Eye

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Aim In adults modern vitreoretinal surgery allows many traumatised eyes to be salvaged. However, one third of serious eye injuries occur in the paediatric age group and trauma is a leading cause of monocular blindness in childhood. This study aims to report the indications, complications and outcomes for vitreoretinal surgical intervention after childhood ocular trauma. Methods Retrospective case note review of 61 children (age 16 years or less) undergoing vitreoretinal surgical procedures following ocular trauma at a tertiary referral centre. Results Twenty-eight children (45.9%) had open globe injuries (OGI) and 33 closed globe injuries (CGI, 54.1%). The mean age of children with OGI was 9.5 years and with CGI 12.3 years (P ¼ 0.0068). Forty-seven children had traumatic retinal detachments (77.1%), which in 17 cases were treated with conventional scleral buckling surgery and in 30 by vitrectomy. Retinal re-attachment was achieved after one procedure in 70.6% with scleral buckling and 46.7% with vitrectomy.

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Section: Discussionsupporting

confidence: 86%

Section: Discussionsupporting

confidence: 86%

Vitreoretinal surgery after childhood ocular trauma

Sheard

Mireskandari

Ezra

et al. 2006

Eye

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“…8,19,20 In our population, giant retinal tear was not a common finding, probably because most of the patients developed myopia during childhood and did not include only the congenital ones. Ora dialysis was found commonly in paediatric age group (20-42%), 13,20,21 but not in our study. The occurrence of lattice degeneration was similar to another study in which it was 5.8% of the paediatric retinal detachments.…”

Section: Retinal Detachment Types Causes and Incidencescontrasting

confidence: 79%

Paediatric vs adult retinal detachment

Rumelt

Sarrazin

Averbukh

et al. 2006

Eye

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Objective To evaluate the causes, incidences, characteristics, and treatment outcomes of paediatric vs adult 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 ¼ 0.004), and exudative RD was more common (P ¼ 0.021) in the paediatric group. Ocular trauma and ocular syndromes were more common in the paediatric group (Po0.001), while myopia, posterior vitreous detachment, and retinal detachment following cataract surgery were less common in this group compared with adults (Po0.001, o0.001, and 0.001, respectively). Ocular pathologies associated with retinal detachment were more common in the paediatric group (Po0.001). Initial and last visual acuity of 420/400, last visual acuity of 420/40, and retinal complete reattachment were higher in adults (Po0.001). 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.

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“…Blunt trauma was the leading predisposing aetiological factor, with a frequency (27%) comparable to previous studies. 2,8,10 Oral dialysis was most frequently (47%) found in trauma-induced cases, as in other studies of traumatic RRD. 11,12 Atopic dermatitis, which has an increasing prevalence in Japan, is a known complication of RRD, whereas contusion from rubbing the eyes has been considered the cause of retinal breaks.…”

Section: Discussionsupporting

confidence: 61%

Characteristics and surgical outcomes of paediatric retinal detachment

Yokoyama

Kato

Minamoto

et al. 2004

Eye

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Purpose To report the clinical features and surgical and visual outcomes of rhegmatogenous retinal detachment (RRD) in the paediatric population. Methods A retrospective review of children (aged 0-15 years) who underwent primary surgical repair for RRD at the Hiroshima University Hospital between 1988 and 2001. Results In all 53 eyes of 49 patients were identified; paediatric RRD accounted for 3.1% of 1779 eyes with RRD operated on during this period. The causes of RRD included blunt trauma (27%), myopia (25%), idiopathic (20%), familial exudative vitreoretinopathy (13%), and others. Among 55 eyes, 12 (22%) already had proliferative vitreoretinopathy (PVR) of grade C or D preoperatively. The median initial visual acuity (VA) was 0.3. Retinal reattachment was achieved with a single operation in 78%. Final retinal reattachment was achieved in 87%. Retinal reattachment rates with and without PVR were 42% and 100%, respectively (Po0.01). Median final VA was 0.7. Final VA was X0.1 in 73% and X0.5 in 53%; four eyes had a final VA of no light perception. The presence of preoperative PVR (P ¼ 0.03) and the initial VA (Po0.0001) significantly affected final VA. Conclusions Paediatric RRD is characterised by a delay in diagnosis, as evidenced by the high rate of PVR at presentation. Retinal reattachment was adversely affected by the presence of PVR. Final VA correlated with the initial VA and was significantly affected by preoperative PVR. Early diagnosis may improve the visual prognosis of paediatric retinal detachment.

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Long-Term Results After Scleral Buckling Surgery in Uncomplicated Juvenile Retinal Detachment Without Proliferative Vitreoretinopathy

Abstract: Scleral buckling procedures allow favorable anatomic and functional results in juvenile retinal detachment without proliferative vitreoretinopathy.

Cited by 47 publications

References 0 publications

Vitreoretinal surgery after childhood ocular trauma

Vitreoretinal surgery after childhood ocular trauma

Paediatric vs adult retinal detachment

Characteristics and surgical outcomes of paediatric retinal detachment

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