Rhegmatogenous retinal detachment in children 16 years of age or younger

Sultan AL-Zaaidi,1 Saba AL-Rashaed,2 Essam AL-Harthi,3 Eman AL-Kahtani,2 Ahmed M Abu El-Asrar41Prince Sultan Medical Military City, Riyadh, Saudi Arabia; 2King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; 3AL-Hokama Eye Center, Riyadh, Saudi Arabia; 4King Abdul Aziz University Hospital, Kin...

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Autores principales:	AL-Zaaidi S, AL-Rashaed S,AL-Kahtani E, AL-Harthi E, Abu El-Asrar A
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/e0a81e530040473aae68a5e9ecb7cce1
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spelling	oai:doaj.org-article:e0a81e530040473aae68a5e9ecb7cce12021-12-02T06:09:28ZRhegmatogenous retinal detachment in children 16 years of age or younger1177-54671177-5483https://doaj.org/article/e0a81e530040473aae68a5e9ecb7cce12013-06-01T00:00:00Zhttp://www.dovepress.com/rhegmatogenous-retinal-detachment-in-children-16-years-of-age-or-young-a13350https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Sultan AL-Zaaidi,1 Saba AL-Rashaed,2 Essam AL-Harthi,3 Eman AL-Kahtani,2 Ahmed M Abu El-Asrar41Prince Sultan Medical Military City, Riyadh, Saudi Arabia; 2King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; 3AL-Hokama Eye Center, Riyadh, Saudi Arabia; 4King Abdul Aziz University Hospital, King Saud University, Riyadh, Saudi ArabiaPurpose: To study the anatomical and visual outcomes and prognostic factors that may predict the outcomes of rhegmatogenous retinal detachment (RRD) in children.Methods: A retrospective chart review was performed for patients 16 years of age or younger who underwent retinal reattachment surgery for RRD at the King Abdulaziz University Hospital from 1996 to 2005 and the King Khalid Eye Specialist Hospital from 2002 to 2006, Riyadh, Saudi Arabia. Good visual outcome was defined as ≥20/200. The association between two categorical variables was evaluated with the Chi-squared test or the exact test, as appropriate. Predictors for RRD and good final visual acuity were identified by conducting stepwise logistic regression analysis. P < 0.05 was statistically significant.Results: The study population comprised 148 patients (166 eyes). There were 104 (70%) males and 44 (30%) females. Mean age at presentation was 8.33 ± 3.26 years (range 1.5–16 years). The retina was reattached after one surgical procedure in 106 (63.8%) eyes and reattached in 130 (78.3%) eyes after multiple surgeries. Factors predicting recurrence after the first surgery were myopia (P = 0.028), proliferative vitreoretinopathy (PVR) at presentation (P = 0.024), and total retinal detachment (P = 0.032). Good final visual outcome was achieved in 60 (44.4%) eyes. Predictors of good visual acuity were: good visual acuity at presentation (P < 0.001); absence of PVR at presentation (P < 0.001); one quadrant of retinal detachment (P = 0.0024); macula on (P = 0.0107); absence of primary repair of a ruptured globe (P = 0.0059); no pars plana vitrectomy (PPV) (P = 0.0123); clear phakic lens at follow-up (P < 0.001); absence of postoperative complications (P < 0.001); absence of recurrence of RRD (P < 0.001); and absence of epiretinal membrane (P = 0.0088). Logistic regression analysis indicated that recurrence of RRD was associated with myopia and previous congenital cataract surgery; good final visual outcome was associated with macula on detachment and poor visual outcome was associated with recurrence of RRD and occurrence of postoperative complications and previous repair of a ruptured globe.Conclusion: RRD in children is usually associated with a predisposing factor, a high rate of PVR, and total retinal detachment. Despite late diagnosis and the presence of PVR, favorable anatomical and visual outcomes can be achieved.Keywords: children, rhegmatogenous, retinal detachment, predisposing factors, outcomeAL-Zaaidi SAL-Rashaed S,AL-Kahtani EAL-Harthi EAbu El-Asrar ADove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 1001-1014 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 AL-Zaaidi S AL-Rashaed S,AL-Kahtani E AL-Harthi E Abu El-Asrar A Rhegmatogenous retinal detachment in children 16 years of age or younger
description	Sultan AL-Zaaidi,1 Saba AL-Rashaed,2 Essam AL-Harthi,3 Eman AL-Kahtani,2 Ahmed M Abu El-Asrar41Prince Sultan Medical Military City, Riyadh, Saudi Arabia; 2King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia; 3AL-Hokama Eye Center, Riyadh, Saudi Arabia; 4King Abdul Aziz University Hospital, King Saud University, Riyadh, Saudi ArabiaPurpose: To study the anatomical and visual outcomes and prognostic factors that may predict the outcomes of rhegmatogenous retinal detachment (RRD) in children.Methods: A retrospective chart review was performed for patients 16 years of age or younger who underwent retinal reattachment surgery for RRD at the King Abdulaziz University Hospital from 1996 to 2005 and the King Khalid Eye Specialist Hospital from 2002 to 2006, Riyadh, Saudi Arabia. Good visual outcome was defined as ≥20/200. The association between two categorical variables was evaluated with the Chi-squared test or the exact test, as appropriate. Predictors for RRD and good final visual acuity were identified by conducting stepwise logistic regression analysis. P < 0.05 was statistically significant.Results: The study population comprised 148 patients (166 eyes). There were 104 (70%) males and 44 (30%) females. Mean age at presentation was 8.33 ± 3.26 years (range 1.5–16 years). The retina was reattached after one surgical procedure in 106 (63.8%) eyes and reattached in 130 (78.3%) eyes after multiple surgeries. Factors predicting recurrence after the first surgery were myopia (P = 0.028), proliferative vitreoretinopathy (PVR) at presentation (P = 0.024), and total retinal detachment (P = 0.032). Good final visual outcome was achieved in 60 (44.4%) eyes. Predictors of good visual acuity were: good visual acuity at presentation (P < 0.001); absence of PVR at presentation (P < 0.001); one quadrant of retinal detachment (P = 0.0024); macula on (P = 0.0107); absence of primary repair of a ruptured globe (P = 0.0059); no pars plana vitrectomy (PPV) (P = 0.0123); clear phakic lens at follow-up (P < 0.001); absence of postoperative complications (P < 0.001); absence of recurrence of RRD (P < 0.001); and absence of epiretinal membrane (P = 0.0088). Logistic regression analysis indicated that recurrence of RRD was associated with myopia and previous congenital cataract surgery; good final visual outcome was associated with macula on detachment and poor visual outcome was associated with recurrence of RRD and occurrence of postoperative complications and previous repair of a ruptured globe.Conclusion: RRD in children is usually associated with a predisposing factor, a high rate of PVR, and total retinal detachment. Despite late diagnosis and the presence of PVR, favorable anatomical and visual outcomes can be achieved.Keywords: children, rhegmatogenous, retinal detachment, predisposing factors, outcome
format	article
author	AL-Zaaidi S AL-Rashaed S,AL-Kahtani E AL-Harthi E Abu El-Asrar A
author_facet	AL-Zaaidi S AL-Rashaed S,AL-Kahtani E AL-Harthi E Abu El-Asrar A
author_sort	AL-Zaaidi S
title	Rhegmatogenous retinal detachment in children 16 years of age or younger
title_short	Rhegmatogenous retinal detachment in children 16 years of age or younger
title_full	Rhegmatogenous retinal detachment in children 16 years of age or younger
title_fullStr	Rhegmatogenous retinal detachment in children 16 years of age or younger
title_full_unstemmed	Rhegmatogenous retinal detachment in children 16 years of age or younger
title_sort	rhegmatogenous retinal detachment in children 16 years of age or younger
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/e0a81e530040473aae68a5e9ecb7cce1
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Rhegmatogenous retinal detachment in children 16 years of age or younger

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