Pediatric retinal detachment in the Eastern Province of Saudi Arabia: experience of a tertiary care hospital.
In: Annals of Saudi medicine, Jg. 29 (2009-09-01), Heft 5, S. 361-4
Online
academicJournal
Zugriff:
Background and Objectives: Because no previous studies have addressed the issue, we describe clinical characteristics and surgical outcome of patients with rhegmatogenous retinal detachment (RRD) in a pediatric population of the Eastern province of Saudi Arabia.
Patients and Methods: We conducted a retrospective review of all consecutive cases of pediatric RRD (0-18 years) patients presenting at Dhahran Eye Specialist Hospital, a tertiary care hospital, in the Eastern Province of Saudi Arabia over a period of 3 years.
Results: Twenty patients were included in the study, accounting for 9.4% of all retinal detachment surgery cases performed over a period of 3 years (January 2006 to December 2008). The median age was 11.0 years, (range, birth to 18 years). Trauma, (45%) myopia/vitreoretinal degeneration (10%) and prior ocular surgery (25%) were significant risk factors for RRD. Proliferative vitreoretinopathy (PVR) more than grade C was present in 14/20 (70%) of cases. Most patients (15/20, 75%) were treated with pars plana vitrectomy and placement of an encircling buckle, while silicone oil or gas was used as tamponade in 13/20 (65%) patients. Surgery was successful in 17/20 (85%) cases in achieving retinal re-attachment. Visual acuity improved significantly following surgery (Mean preop 2.146 LogMAR, Mean postop 1.497 LogMAR) ( P= .014). Longer duration of RRD ( P =.007) and macular involvement ( P =.05) were associated with worse anatomical outcomes following surgery.
Conclusion: Pediatric RRD in the Eastern province is often associated with predisposing pathology. Surgery is successful in achieving anatomical reattachment of the retina in a majority of cases with improvement of visual acuity.
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Pediatric retinal detachment in the Eastern Province of Saudi Arabia: experience of a tertiary care hospital.
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Autor/in / Beteiligte Person: | Cheema, RA ; Al-Khars, W ; Al-Askar, E ; Amin, YM |
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Zeitschrift: | Annals of Saudi medicine, Jg. 29 (2009-09-01), Heft 5, S. 361-4 |
Veröffentlichung: | 2012- : Riyadh : King Faisal Specialist Hospital and Research Centre ; <i>Original Publication</i>: [Riyadh, Saudi Arabia : King Faisal Specialist Hospital and Research Center and King Saud University College of Medicine, c1985-, 2009 |
Medientyp: | academicJournal |
ISSN: | 0975-4466 (electronic) |
DOI: | 10.4103/0256-4947.55165 |
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