Pediatric Rhegmatogenous Retinal Detachment

Fivgas, George D.; Capone, Antonio

doi:10.1097/00006982-200104000-00001

Cited by 121 publications

(128 citation statements)

References 6 publications

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“…Only 40-70% of patients report symptoms at the time of diagnosis. 2,11,12 As expected, this percentage is even less in younger age groups. Hence, children with retinal detachments are more likely to present with fluid under the macula and with proliferative vitreoretinopathy (PVR) ( Table 1).…”

Section: Presenting Characteristicssupporting

confidence: 76%

“…1 Pediatric RRD is much less common, with an annual incidence only 0.38-0.69 per 100,000, 2 making up only 0.5-8% of all retinal detachments. [2][3][4][5][6][7][8][9] A number of case series of pediatric RRD have been reported (Table 1). [2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18] Most of these case series include patients up to 18 years of age and the mean or median ages of presentation that are reported are 9-13 years of age.…”

Section: Epidemiologymentioning

confidence: 99%

“…2 Bilateral retinal detachments are more common in the pediatric population. Up to 30% of affected children either present with bilateral retinal detachment or develop the second detachment over a relatively short period of follow-up ( Table 1).…”

Section: Presenting Characteristicsmentioning

confidence: 99%

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Evaluation and management of pediatric rhegmatogenous retinal detachment

Wenick¹,

Barañano²

2012

Saudi Journal of Ophthalmology

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Pediatric rhegmatogenous retinal detachments are rare, accounting for less than ten percent of all rhegmatogenous retinal detachments. While most retinal detachments in the adult population are related to posterior vitreous detachment, pediatric retinal detachment are often related to trauma or an underlying congenital abnormalities or genetic syndrome. The anatomy of pediatric eyes, the often late presentation of the disease, and the high incidence of bilateral pathology in children all pose significant challenges in the management of these patients. We discuss the epidemiology of pediatric rhegmatogenous retinal detachment, review the genetic syndromes associated with a high incidence of retinal detachment, and examine other common causes of retinal detachment in this age group. We then outline an approach to evaluation and management and describe the expected outcomes of repair of retinal detachment in the pediatric population.

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Section: Presenting Characteristicssupporting

confidence: 76%

Section: Epidemiologymentioning

confidence: 99%

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Evaluation and management of pediatric rhegmatogenous retinal detachment

Wenick¹,

Barañano²

2012

Saudi Journal of Ophthalmology

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“…In our study group, In all 22% of eyes in this study presented with grade C or D PVR. Likewise, several studies of paediatric RRD also reported a high rate of PVR, attributed to delayed diagnosis 4,5 and increased intraocular cellular activity. 2 Complete retinal reattachment was achieved only in 42% of PVR cases in this study, and the functional results were worser than the anatomical results.…”

Section: Discussionmentioning

confidence: 93%

“…Clinical features of paediatric RRD are different from those of adults because of delayed diagnosis due to poor subjective complaints 4,5 and an association with various complicating entities. [1][2][3]5 Extrapolation of data obtained from adult cases, therefore, may be inappropriate for the management of paediatric RRD. Instead, data from clinical study focusing on paediatric cases are required.…”

Section: Introductionmentioning

confidence: 99%

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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Retinopathy of Prematurity

Ober¹,

Palmer²,

Drack³

et al.

Handbook of Pediatric Retinal Disease

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We screened 50 neonates fulfilling the inclusion criteria admitted during the study period in a teaching hospital in a north-eastern state of India. Out of 50 neonates screened, 22 (44%) developed retinopathy of prematurity. There was significant association between the birth weight and gestational age of the baby at the time of the delivery with the development of ROP. Multivariate analysis of risk factors for development of ROP using a stepwise method, after controlling for various potential confounders, showed that apnea was a significant risk factor for the development of retinopathy of prematurity.

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Pediatric Rhegmatogenous Retinal Detachment

Cited by 121 publications

References 6 publications

Evaluation and management of pediatric rhegmatogenous retinal detachment

Evaluation and management of pediatric rhegmatogenous retinal detachment

Characteristics and surgical outcomes of paediatric retinal detachment

Retinopathy of Prematurity

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