Rhegmatogenous retinal detachments in children in India: Clinical characteristics, risk factors, and surgical outcomes

Wadhwa, Neeraj; Venkatesh, Pradeep; Sampangi, Raju; Garg, Satpal

doi:10.1016/j.jaapos.2008.05.002

Cited by 37 publications

(55 citation statements)

References 11 publications

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“…[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. Across these series, trauma accounts for about 40% of all cases (Table 1), compared to just 11% in the adult population.…”

Section: Epidemiologymentioning

confidence: 99%

“…In two different case series, when considering patients presenting with or developing bilateral detachments, 60% of the more severe of the two detachments were deemed inoperable. 2,16 Children with unilateral retinal detachments have very high rates of retinal tears and lattice degeneration in the contralateral eye that places them at risk for second detachment. When trauma is excluded, the rate of high-risk peripheral pathology is reported to be as high as 80-90% (Table 1).…”

Section: Presenting Characteristicsmentioning

confidence: 99%

“…It has been reported as the presenting symptom in up to 15% of cases. 2,16 The presence of strabismus in a patient with a retinal detachment may indicate a chronic detachment, and the duration of the ocular misalignment can inform the clinician on the time course of visual loss.…”

Section: Historymentioning

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: Epidemiologymentioning

confidence: 99%

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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“…RRD in eyes with chorioretinal coloboma is thought to be secondary to a combination of breaks in the ICM and the presence of a communication between the sub-ICM space and subretinal space. 10,13,15,[18][19][20][21] There was one case (1.7%) of spontaneous reattachment of the retina following positioning. Although spontaneous retinal reattachment has been reported in the literature, most retinal detachments associated with chorioretinal coloboma require surgery and often have poor visual outcomes.…”

Section: Discussionmentioning

confidence: 99%

Chorioretinal coloboma in a paediatric population

Uhumwangho

Jalali

2014

Eye

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Aim To determine the validity of laser photocoagulation as a prophylactic treatment in the prevention of rhegmatogenous retinal detachment (RRD) in a group of paediatric patients presenting with chorioretinal coloboma. Methods Observational case series of consecutive patients aged 0-15 years with chorioretinal coloboma seen in a tertiary eye hospital were reviewed. Data were analysed with SPSS version 16, a P-value of o0.05 was considered significant. Results One hundred and ninety-eight patients (335 eyes) were identified. The prevalence of retinal detachment and ocular anomalies was 17.6 and 87.2%, respectively. Ocular anomalies included iris coloboma (71%), microcornea (45.1%), nystagmus (41.5%), strabismus (21.2%), and microphthalmos (19.1%). The prevalence of retinal detachment was 2.9% in those eyes that received prophylactic laser photocoagulation, whereas the risk of retinal detachment was 24.1% in eyes left untreated. Post-operative complications following retinal detachment surgery occurred in 86.7% eyes; the most frequent being recurrent retinal detachment (53.8%). The mean duration of follow-up was 1.59 ± 0.21 years (0-7 years) and 0.79 ± 0.16 years (0-8 years) in the group that had laser and in those that were treatment naive, respectively. Conclusions Prophylactic laser treatment appears to have a protective effect for the prevention of RRD in eyes with chorioretinal coloboma. Measures towards prophylactic therapy should be instituted to reduce the risk of retinal detachment in choroid colobomatous eyes due to the problems in the management of these retinal detachments.

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“…The prevalence of RD is reported as 12.4 cases per 100,000 in- dividuals, of which 3.2% -5.6% (0.38 -0.69 cases per 100,000 individuals) are of pediatric age [1] [2] [3] [4]. Management of pediatric RD remains challenging due to the viscosity of pediatric vitreous, the difficulty of scleral buckling in developing eyes, and the risk of proliferative retinopathy caused by a raised immune response [2] [3] [5].…”

Section: Introductionmentioning

confidence: 99%

Pediatric Retinal Detachment in Indonesia: Clinical Characteristics, Risk Factors, and Treatment Outcomes

Irfani¹,

Kartasasmita²

2017

OJOph

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Purpose: To describe the clinical features and risk factors of pediatric retinal detachment among patients in Indonesia. Methods: This is a retrospective study involving 46 eyes of 34 children (younger than 18 years) diagnosed with pediatric retinal detachment. A detailed history was taken and a complete ophthalmic examination and a systemic examination were performed as required. Clinical characteristics, risk factors, and treatment choices were noted. Retinal detachment was categorized as tractional, exudative, or rhegmatogenous. Results: Mean patient age was 8.5 years (range, 0-18 years). Most patients (70%) were boys. Twelve (35%) patients had bilateral involvement at presentation. Tractional retinal detachment was found in 17 eyes (37%) and in this study was caused by retinopathy of prematurity (grade IV-V) in all cases. Exudative retinal detachment was found in 12 eyes (26%), the most common causes of which were panuveitis and Coat's disease (both 50%). Rhegmatogenous retinal detachment was found in 17 eyes (37%), the most common risk factor for which was trauma (58%). Conclusions: Different approaches are needed to treat pediatric retina detachment in patients with different risk factors. Recognition of risk factors and early management will help to prevent childhood blindness due to retinal detachment.

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Rhegmatogenous retinal detachments in children in India: Clinical characteristics, risk factors, and surgical outcomes

Cited by 37 publications

References 11 publications

Evaluation and management of pediatric rhegmatogenous retinal detachment

Evaluation and management of pediatric rhegmatogenous retinal detachment

Chorioretinal coloboma in a paediatric population

Pediatric Retinal Detachment in Indonesia: Clinical Characteristics, Risk Factors, and Treatment Outcomes

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