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Surgical outcomes after primary vitrectomy in paediatric rhegmatogenous retinal detachment

Session Details

Session Title: Vitreoretinal Surgery II

Session Date/Time: Thursday 26/09/2013 | 14:30-16:00

Paper Time: 15:26

Venue: Hall 3 (Level 0)

First Author: V.Agrawal INDIA

Co Author(s):    K. Khilnani   P. Fauzdar           

Abstract Details

Purpose:

Retrospective evaluation of the surgical outcomes of rhegmatogenous retinal detachment (RRD)in paediatric age group.

Setting:

Department of Ophthalmology, SMS Hospital, Jaipur, India

Methods:

- 30 patients younger than 16 years with rhegmatognous retinal detachment ( 30 eyes) underwent 23 G Pars Plana vitrectomy (PPV) with 360 degree encirclage with silicone oil tamponade between August 2011 and July 2012 at our centre.

Results:

In our series trauma was the main cause of RRD in paediatric age group (18/30; 60%) followed by high myopia (7/30;23.33%),congenital disorders(4/30;13.33%) and Familial Exudative Vitreo Retinopathy (1/30;3.33%).Proliferative retinopathy more than PVR grade C and anterior PVR was present in 21 patients(70%). All patients underwent 23G PPV with encirclage with silicone oil tamponade.The reattachment rate after first surgery was 28/30(93.33%) and 29/30 after second surgery(96.66%).

Conclusions:

The above findings indicate that high reattachment rates and improvement in visual acuity in RRD in this age group can be achieved by PPV and encirclage with silicone oil tamponade. The results are comparable to reattachment rates in adult population if the appropriate surgical procedure is used.

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