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Pediatric rhegmatogenous retinal detachment: surgical approach

Session Details

Session Title: Vitreoretinal Surgery V

Session Date/Time: Sunday 20/09/2015 | 11:00-13:00

Paper Time: 12:44

Venue: Hermes

First Author: : A.Pimenta Leal PORTUGAL

Co Author(s): :    M. Neves   P. Fonseca   P. Magro   J. Figueira   F. Henriques   M. Alfaiate

Abstract Details

PURPOSE:To evaluate the clinical characteristics of pediatric rhegmatogenous retinal detachments (RRD), their surgical approaches and anatomical and functional outcomes.

Setting:

Department of Ophthalmology - Centro Hospitalar e Universitário de Coimbra, Portugal

Methods:

Retrospective consecutive case series of 27 eyes from 25 pediatric patients with rhegmatogenous retinal detachment (RD) who underwent surgical intervention in our center between 2004 and 2014. Baseline characteristics documented were demographics, presenting clinical examination findings, previous ocular surgery, predisposing factors and fellow eye findings. Surgical approaches and outcomes as final best-corrected visual acuity (BCVA) and reattachment success rate were evaluated.

Results:

Our study population had a mean age of 12,3 ┬▒ 4,7 and was mainly males (62,1%) with a median follow-up of 30,1 months. Primary or idiopathic RD were identified in 47,1% of the cases and 52,9% of them were secondary. The most common etiologies of secondary RD included trauma (59%), previous ocular surgery (27%) and congenital abnormalities (14%). The most common primary surgery was Pars plana vitrectomy (PPV) (58%) followed by PPV plus scleral buckling (SB) (36%) and SB alone (6). At final follow up, functional visual loss occurred in 9 % of the cases, functional visual gain (BCVA) occurred in 81% oh the cases. Cataract was identified in 25% of the phakic patients. The final anatomical success rate was 85%.

Conclusions:

Pediatric retinal detachments are rare and the majority of cases are associated with underlying risk factors. Despite the complexity of rhegmatogenous retinal detachment and the presence of vision-threatening anomalies, anatomic and functional outcomes were favorable

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