ABSTRACT

Objective:

To describe the clinical characteristics and surgical outcomes of bilateral pediatric rhegmatogenous retinal detachments (RRD).

Method:

Retrospective review of 40 eyes of 20 pediatric patients (18 years old and under) with bilateral RRD treated at Singapore National Eye Centre with scleral buckling(SB), pars plana vitrectomy(PPV) or combination of scleral buckle with pars plana vitrectomy (SB+PPV). Baseline clinical characteristics were collected and surgical outcomes determined at 6 months after surgery.

Results:

The mean age was 13.8 (range 5 to 18 years old) and the majority were male (85%). The most common pathologies were lattice with multiple breaks (20%), single U tears (17.5%) and multiple round holes (12.5%). 29 (72.5%) eyes had macula off retinal detachments at presentation. The mean preoperative visual acuity (VA) in the SB, PPV and SB+PPV groups were 0.80±0.88, 2.73±0.05 and 2.27±0.81 respectively. (p<0.001). Single operation success was 70% and final anatomical success was 82.5% with a mean of 1.45±1.09 surgeries. 55% of eyes had final visual acuity (VA) of 6/12 or better. The mean final VA in the SB, PPV and SB+PPV groups were 0.44±0.39, 1.35±1.13 and 0.88±0.77 respectively. (p=0.007) Factors associated with final VA of 6/12 or better includes increasing age [OR=1.32, 95%CI(1.01, 1.70)] and macula on status [OR=11.4, 95%CI(1.06, 125)].

Conclusion:

Bilateral pediatric RRD can have good anatomical and visual outcomes if managed expediently. The older child has a better visual prognosis, and macula on pediatric RRDs are highly associated with a good visual outcome.


CONTACT DETAILS

 

Andrew TSAI*, Chee Wai WONG, Gavin TAN, Shu Yen LEE
Singapore National Eye Centre
Singapore
Singapore
Email : mr.andrewt@gmail.com
Work Phone: +6562277255