Clinical features and surgical outcomes of pediatric rhegmatogenous retinal detachment

Retina. 2009 Apr;29(4):545-51. doi: 10.1097/IAE.0b013e318194fd1a.


Purpose: To evaluate the clinical features and functional and anatomical outcomes after surgical intervention in pediatric rhegmatogenous retinal detachment.

Methods: In this retrospective case series, pediatric patients with rhegmatogenous retinal detachment who had surgical intervention were included. Cases were categorized into five main etiology groups: congenital or developmental (48 eyes); trauma (54 eyes); myopia alone (12 eyes); previous intraocular surgery (10 eyes); and miscellaneous (3 eyes). Patients' demographic, clinical, and surgical outcomes, as well as fellow eye findings were evaluated.

Results: One hundred twenty-seven eyes of 108 patients (mean age: 12.1 +/- 4.1 year, 80.6% male) were included. Scleral buckling was the initial procedure in 31% of eyes and vitrectomy in 63%. Mean follow-up was 34 +/- 21 months (median 33 months). Retinal reattachment at last follow-up was achieved in 74.9% of eyes. Visual acuity was >/=20/200 in 14% of eyes preoperatively and in 47.9% of eyes at final follow-up (P = 0.001). Retinal pathologies (mostly lattice degeneration) were noted in 82.2% of fellow eyes.

Conclusion: Trauma and congenital-developmental anomalies were the leading etiologies in pediatric rhegmatogenous retinal detachment in this review. Despite the complexity of rhegmatogenous retinal detachment and presence of vision-threatening anomalies, anatomic and functional outcomes were acceptable. Regular ophthalmoscopy of the sound eye is recommended for children at risk.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Child
  • Child, Preschool
  • Eye Abnormalities / complications
  • Eye Injuries / complications
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Retinal Degeneration / complications
  • Retinal Detachment / complications
  • Retinal Detachment / etiology
  • Retinal Detachment / physiopathology*
  • Retinal Detachment / surgery*
  • Retinal Perforations / complications*
  • Retrospective Studies
  • Scleral Buckling
  • Treatment Outcome
  • Visual Acuity
  • Vitrectomy