Cem KESİM, Bora ELDEM, Afsun SAHİN, Sibel KADAYİFCİLAR, Melisa Zisan KARSLİOGLU, Ayse Yildiz TAS, Duriye Damla SEVGİ

Rhegmatogenous retinal detachments in pediatric population

AbstractAim: It is to review the clinical features, and surgical, and visual outcomes of rhegmatogenous retinal detachment in a pediatric population.Material and Methods: Medical records of 31 children aged 16 years old or younger with rhegmatogenous retinal detachment were retrospectively analyzed. Cases of acute retinopathy of prematurity were excluded. The data for etiologies, risk factors, prior intraocular surgery, therapeutic approach options, anatomic and functional results were evaluated.Results: Thirty-three eyes of 31 patients with RRD were evaluated. The mean patient age was 11.42±3.82 years (range 3-16). There were 26 (83.9%) males and 5 (16.1%) females. The most common etiology was trauma. At presentation 57.5% of affected eyes (19/33) had a visual acuity worse than 20/400. Preoperative retinal tear was found in 60.6% (20/33) of patients. At initial examination, proliferative vitreoretinopathy was detected in 36.3% (12/33) of patients. The most common primary operation was scleral buckle with subretinal fluid drainage (69.6%, 23/33). Anatomical reattachment was accomplished in 84.8% of cases (28/33). At the finalvisit, 78.78% of affected eyes (26/33) had a better visual acuity when compared to preoperative examination. In nine of affected eyes (27.27%), visual acuity was 20/200 or better. Mean follow-up time was 37.5 months (range 3-72).Conclusion: In our series, pediatric RRD occurred most commonly in association with trauma. Most eyes were anatomically reattached, and most eyes retained vision of 20/800 or better. Preserving vision in children with RRD is of great importance because of high risk of vision threatening events to the fellow eye.

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1. Fivgas GD, Capone A, Jr. Pediatric rhegmatogenous retinal detachment. Retina 2001;21:101-6.
2. Wang NK, Tsai CH, Chen YP, et al. Pediatric rhegmatogenous retinal detachment in East Asians. Ophthalmology 2005;112:1890-5.
3. Wenick AS, Baranano DE. Evaluation and management of pediatric rhegmatogenous retinal detachment. Saudi J Ophthalmol 2012;26:255-63.
4. Chen SN, Jiunn-Feng H, Te-Cheng Y. Pediatric rhegmatogenous retinal detachment in taiwan. Retina 2006;26:410-4.
5. Soheilian M, Ramezani A, Malihi M, et al. Clinical features and surgical outcomes of pediatric rhegmatogenous retinal detachment. Retina 2009;29:545-51.
6. Gurler B, Coskun E, Oner V, et al. Clinical characteristics and surgical outcomes of pediatric rhegmatogenous retinal detachment. Int Ophthalmol 2016;36:521-5.
7. Read Sp, Aziz Ha, Kuriyan A, et al. Retinal Detachment Surgery In A Pediatric Population: Visual And Anatomic Outcomes. Retina 2018;38:1393-402.
8. McElnea E, Stephenson K, Gilmore S, et al. Paediatric retinal detachment: aetiology, characteristics and outcomes. Int J Ophthalmol 2018;11:262-6.
9. Gonzales CR, Singh S, Yu F, et al. Pediatric rhegmatogenous retinal detachment: clinical features and surgical outcomes. Retina 2008;28:847-52.
10. Yokoyama T, Kanbayashi K, Yamaguchi T. Scleral buckling procedure with chandelier illumination for pediatric rhegmatogenous retinal detachment. Clin Ophthalmol 2015;9:169-73.
11. Akabane N, Yamamoto S, Tsukahara I, et al. Surgical outcomes in juvenile retinal detachment. Jpn J Ophthalmol 2001;45:409-11.
12. Rahimi M, Bagheri M, Nowroozzadeh MH. Characteristics and outcomes of pediatric retinal detachment surgery at a tertiary referral center. J Ophthalmic Vis Res 2014;9:210-4.
13. Winslow RL, Tasman W. Juvenile rhegmatogenous retinal detachment. Ophthalmology 1978;85:607-18.
14. Weinberg DV, Lyon AT, Greenwald MJ, et al. Rhegmatogenous retinal detachments in children: risk factors and surgical outcomes. Ophthalmology 2003;110:1708-13.
15. Okinami S, Ogino N, Nishimura T, et al. Juvenile retinal detachment. Ophthalmologica 1987;194:95-102.
16. Oono Y, Uehara K, Haruta M, et al. Characteristics and surgical outcomes of pediatric rhegmatogenous retinal detachment. Clin Ophthalmol 2012;6:939-43.
17. Scott IU, Flynn HW, Jr., Azen SP, et al. Silicone oil in the repair of pediatric complex retinal detachments: a prospective, observational, multicenter study. Ophthalmology. 1999;106:1399-407; discussion 407- 8.