Traumatic pediatric retinal detachment: a comparison between open and closed globe injuries

Sarrazin, L.; Averbukh, Edward; Halpert, Michael; Hemo, Itzhak; Rumelt, Shimon

doi:10.1016/j.ajo.2004.01.011

Cited by 73 publications

(98 citation statements)

References 38 publications

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“…Silicone oil was injected in 20 (66.7%), similar to the rate reported in another series of traumatic paediatric retinal detachments. 21 The high rate of silicone oil use is due in part to the complexity of some traumatic RDs, but a second important factor is the expected compliance of children with postoperative posturing. We found no significant difference in the ages of children receiving oil or gas tamponade, but it is impossible to control for the complexity of the detachment in the analysis.…”

Section: Discussionmentioning

confidence: 99%

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: Discussionmentioning

confidence: 99%

Vitreoretinal surgery after childhood ocular trauma

Sheard

Mireskandari

Ezra

et al. 2006

Eye

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“…19,31 In a previous study, we found that the occurrence of retinal detachment in children following closed and open globe injury was comparable and lower than would be expected according to the Ocular Trauma Score. 32 This new index allows prediction of the visual outcome in a population with ocular trauma according to the initial visual acuity, type of injury, and associated findings. 33 Each parameter had a prognostic value with certain weight (raw points) and the sum of the weights determined the expected last visual acuity.…”

Section: Outcomes and Complications Of Retinal Detachmentmentioning

confidence: 99%

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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“…[8][9][10][11][12] We would expect this to have changed with subsequent advances in the management of congenital cataract 13 and ROP, 14 and the reduced incidence of ocular trauma following the introduction of seat belt legislation. 15,16 Recent reports have either examined small patient numbers, [17][18][19][20] focused on particular aetiologies, [21][22][23] specifically considered the management of complex cases, 24,25 or reviewed populations in the Far East, 26,27 where myopia (even in the paediatric age group) is reaching almost epidemic levels. 28 Contemporary data are needed to develop strategies for prevention and early detection of this sight-threatening condition in European populations.…”

Section: Introductionmentioning

confidence: 99%

The aetiology of paediatric rhegmatogenous retinal detachment: 15 years experience

Lee

Mayer

Markham

2007

Eye

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Purpose To provide contemporary data on the aetiology of paediatric rhegmatogenous retinal detachment (RRD) in the UK population. Methods Retrospective case series. Results Eighty-eight eyes in 82 patients (aged 0-16 years) were treated for RRD at Bristol Eye Hospital between 1 January 1990 and 31 December 2004. Seventy-three per cent of patients were male and the main predisposing factors were trauma (53%), associated conditions (27%), and high myopia (17%). Nineteen per cent of RRDs were idiopathic, and the majority of these were due to inferotemporal dialyses. The macula was detached on presentation in 66% of eyes. Conclusions The principal causes of paediatric RRDs have not changed over the past 40 years. Those due to congenital cataracts, retinopathy of prematurity, uveitis, and glaucoma are now less prevalent, presumably reflecting advances in their management. Differences with other contemporary series may arise from geographical variation in the prevalence of myopia and other associated conditions, as well as institutional referral patterns. Full examination of the retinal periphery is advised for children with eye injuries (to exclude dialyses).

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Traumatic pediatric retinal detachment: a comparison between open and closed globe injuries

Cited by 73 publications

References 38 publications

Vitreoretinal surgery after childhood ocular trauma

Vitreoretinal surgery after childhood ocular trauma

Paediatric vs adult retinal detachment

The aetiology of paediatric rhegmatogenous retinal detachment: 15 years experience

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