Surgical Outcomes in Juvenile Retinal Detachment

Akabane, Naoko; Yamamoto, Shuichi; Tsukahara, Itsuro; Ishida, Masahiro; Mitamura, Yoshinori; Yamamoto, Tohru; Takeuchi, Shinobu

doi:10.1016/s0021-5155(01)00361-6

Cited by 59 publications

(73 citation statements)

References 4 publications

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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: 66%

“…FEVR composed 13% of paediatric RRD in our study, which is consistent with the 12-16% findings in other studies. 2,14 Careful attention should be paid to the detection of FEVR, because a high rate of PVR was found in those eyes. 2 Conventional scleral buckling procedure was undertaken as the first operation in 42 of 55 eyes (76%), including three eyes with grade C2 PVR.…”

Section: Discussionmentioning

confidence: 99%

“…Rhegmatogenous retinal detachment (RRD) may occur at any age, but it has been infrequent during childhood; the reported incidence of childhood RRD is 1.7-5.9% [1][2][3] of all retinal detachments. 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.…”

Section: Introductionmentioning

confidence: 99%

“…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%

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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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Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Characteristics and surgical outcomes of paediatric retinal detachment

Yokoyama

Kato

Minamoto

et al. 2004

Eye

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“…Proliferative vitreoretinopathy was comparable in the paediatric and the adult group. [25][26][27][28][29][30] In our study, it was less common than previously reported for children and at a rate similar to that of adults. This may be related to the difficulties in precise examination of the retinal periphery in children as well to the inherent difficulties associated with retrospective study.…”

Section: Outcomes and Complications Of Retinal Detachmentsupporting

confidence: 45%

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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Childhood Retinal Detachment

Poulson

Snead

Essentials in Ophthalmology

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Surgical Outcomes in Juvenile Retinal Detachment

Cited by 59 publications

References 4 publications

Characteristics and surgical outcomes of paediatric retinal detachment

Characteristics and surgical outcomes of paediatric retinal detachment

Paediatric vs adult retinal detachment

Childhood Retinal Detachment

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