Ihab Saad Othman (Giza, Egypt)

Advantages:

Exudative retinal detachment in pediatric age group represents a specific pathological entity that has to be properly diagnosed and managed away from conventional vitrectomy techniques.

Methods:

Retrospective review of cases with total exudative retinal detachment including Coats’s disease, inflammatory retinitis and chroiditis. 15 cases were identified with a mean age of 3 years (range 1 year to 21 years). Among those 12 cases of Coats disease, 3 cases with inflammatory retinitis. Management included drainage of subretinal fluid through scleral windows with intravitreal TA injection in Coats disease, and peribulbar steroids injection in inflammatory conditions.

Effectiveness / Safety:

Intervention resulted in flattening of the retina in all cases. There was an improvement in visual acuity in all cases. TA resulted in cataract formation in 40 % of cases noted at 2 years follow up.

Take home message:

Recognition and proper management of specific entities of total exudative retinal detachment results in excellent anatomical and functional results.