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Pediatric rhegmatogenous retinal detachment: predictors of anatomic and functional success

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Abstract

Purpose

This study describes presenting clinical features and surgical techniques associated with successful repair of pediatric rhegmatogenous retinal detachment (RRD).

Methods

This is a retrospective case series which involved 242 cases younger than 18 years with new-onset RRD with descriptive statistics for the full group. Further exclusion established 168 cases that underwent surgery with minimum 3-month follow-up. Comparison of features associated with successful outcomes was analyzed using Chi-squared tests, logistic regression and univariate generalized equation models.

Results

We measured proportion of patients with BCVA ≤ 1.0 logMAR and/or an increase in final BCVA of 0.3 logMAR with respect to baseline and complete reattachment at final visit; 104 eyes (62%) achieved total reattachment, and 91 eyes (54%) achieved visual success. Absence of macular involvement, subtotal RRD and older age group (13–18) were associated with both success measures. There were higher visual and anatomic success rates with primary scleral buckling (SB, 66% and 79%; OR 9.26 and 11.09) and combined SB plus pars plana vitrectomy (PPV, 54% and 58%; OR 5.67 and 3.94) compared with PPV alone (26% and 17%).

Conclusion

A majority of patients achieved anatomical success with repair. Trauma and myopia were the most common etiologic associations, with myopic cases having better outcomes. Success was more likely in patients with subtotal RRD or uninvolved macula at presentation; previous intraocular surgery was a risk factor for failure. Younger patients had a higher likelihood of worse outcomes. Initial PPV showed a lower rate of success than either SB or combined SB/PPV.

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Data availability

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

References

  1. Nuzzi R, Lavia C, Spinetta R (2017) Paediatric retinal detachment: a review. Int J Ophthalmol 10(10):1592–1603

    PubMed  PubMed Central  Google Scholar 

  2. Read SP, Aziz HA, Kuriyan A, Kothari N, Davis JL, Smiddy WE, Flynn HW, Murray TG, Berrocal A (2018) Retinal detachment surgery in a pediatric population. Retina 38(7):1393–1402

    Article  Google Scholar 

  3. Akabane N, Yamamoto S, Tsukahara I, Ishida M, Mitamura Y, Yamamoto T, Takeuchi S (2001) Surgical outcomes in juvenile retinal detachment. Jpn J Ophthalmol 45(4):409–411

    Article  CAS  Google Scholar 

  4. Rumelt S, Sarrazin L, Averbukh E et al. (2007) Paediatric vs adult retinal detachment. Eye, 21(12): 1473–e1478

  5. Smith JM, Ward LT, Townsend JH, Yan J, Hendrick AM, Cribbs BE, Yeh S, Jain N, Hubbard GB (2018) Rhegmatogenous retinal detachment in children: clinical factors predictive of successful surgical repair. Ophthalmology

  6. Agarkar S, Gokhale VV, Raman R et al. (2018) Incidence risk factors and outcomes of retinal. Ophthalmology, 125(1): 36

  7. Huang Y-C, Chu Y-C, Wang N-K, Lai C-C, Chen K-J, Hwang Y-S, Wu W-C (2017) Impact of etiology on the outcome of pediatric rhegmatogenous retinal detachment. Retina, 1

  8. Lee RW, Mayer EJ, Markham RH (2008) The aetiology of pediatric rhegmatogenous retinal detachment: 15 years experience. Eye (Lond) 22(5):636–640

    Article  CAS  Google Scholar 

  9. McElnea E, Stephenson K, Gilmore S, O’Keefe M, Keegan D (2018) Paediatric retinal detachment: aetiology, characteristics and outcomes. Int J Ophthalmol 11(2):262–266

    PubMed  PubMed Central  Google Scholar 

  10. Haring G, Wiechens B (1998) Long-term results after scleral buckling surgery in uncomplicated juvenile retinal detachment without proliferative vitreoretinopathy. Retina 18(6):501–505

    Article  CAS  Google Scholar 

  11. Heimann H, Bartz-Schmidt KU, Bornfeld N, Weiss C, Hilgers RD, Foerster MH et al (2007) Scleral Buckling versus primary vitrectomy in rhegmatogenous retinal detachment. Ophthalmology 114:2142–2154

    Article  Google Scholar 

  12. Soheilian M, Ramezani A, Malihi M, et al. (2009) Clinical features and surgical outcomes of pediatric rhegmatogenous retinal detachment. Retina, 29(4):545e551.

  13. Al-Zaaidi S, Al-Rashaed S, Al-Harthi E, Al-Kahtani E, Abu El-Asrar AM (2013) Rhegmatogenous retinal detachment in children 16 years of age or younger. Clin Ophthalmol 7:1001–1014. https://doi.org/10.2147/OPTH.S40056

    Article  PubMed  PubMed Central  Google Scholar 

  14. Gonzales CR, Singh S, Yu F, et al. (2008) Pediatric rhegmatogenous retinal detachment: clinical features and surgical outcomes. Retina, 28(6):847e852.

  15. Sarrazin L, Averbukh E, Halpert M, Hemo I, Rumelt S (2004) Traumatic paediatric retinal detachment: a comparison between open and closed globe injuries. Am J Ophthalmol 137(6):1042–1049

    Article  Google Scholar 

  16. Wadhwa N, Venkatesh P, Sampangi R, Garg S (2008) Rhegmatogenous retinal detachments in children in India: clinical characteristics, risk factors, and surgical outcomes. J AAPOS,12(6): 551e554.

  17. Rahimi M, Bagheri M, Nowroozzadeh MH (2014) Characteristics and outcomes of paediatric retinal detachment surgery at a tertiary referral center. J Ophthalmic Vis Res 9(2):210–214

    PubMed  PubMed Central  Google Scholar 

  18. Weinberg DV, Lyon AT, Greenwald MJ, Mets MB (2003) Rhegmatogenous retinal detachments in children: risk factors and surgical outcomes. Ophthalmology, 110(9): 1708e1713

  19. Wang NK, Chen YP, Yeung L, Chen KJ, Chao AN, Kuo YH, Lee JS, Lai CC (2007) Traumatic pediatric retinal detachment following open globe injury. Ophthalmologica 221(4):255–263

    Article  Google Scholar 

  20. Chen SN, Jiunn-Feng H, Te-Cheng Y (2006) Pediatric rhegmatogenous retinal detachment in Taiwan. Retina, 26(4): 410e414

  21. Wang NK, Chen YP, Lai CC, Chen TL, Yang KJ, Kuo YH, Chao AN, Wu WC, Chen KJ, Hwang YS, Yeung L, Liu L (2009) Paediatric retinal detachment: comparison of high myopia and extreme myopia. Br J Ophthalmol 93(5):650–655

    Article  Google Scholar 

  22. Chang PY, Yang CM, Yang CH, Huang JS, Ho TC, Lin CP, Chen MS, Chen LJ, Wang JY (2005) Clinical characteristics and surgical outcomes of paediatric rhegmatogenous retinal detachment in Taiwan. Am J Ophthalmol 139(6):1067–1072

    Article  Google Scholar 

  23. Wang NK, Tsai CH, Chen YP, Yeung L, Wu WC, Chen TL, Lin KK, Lai CC (2005) Paediatric rhegmatogenous retinal detachment in East Asians. Ophthalmology 112(11):1890–1895

    Article  Google Scholar 

  24. Oono Y, Uehara K, Haruta M, Yamakawa R (2012) Characteristics and surgical outcomes of paediatric rhegmatogenous retinal detachment. Clin Ophthalmol 6:939–943

    Article  Google Scholar 

  25. Fivgas GD, Capone Jr A (2001) Pediatric rhegmatogenous retinal detachment. Retina, 21(2):101e106

  26. Errera MH, Liyanage SE, Moya R, Wong SC, Ezra E (2015) Primary scleral buckling for paediatric rhegmatogenous retinal detachment. Retina 35(7):1441–1449

    Article  Google Scholar 

  27. Yokoyama T, Kato T, Minamoto A, Sugihara A, Imada M, Kuwabara R, Mizote H, Yamane K, Jian K, Tamura H, Noma H, Mishima HK (2004) Characteristics and surgical outcomes of paediatric retinal detachment. Eye (Lond) 18(9):889–892

    Article  CAS  Google Scholar 

  28. Gurler B, Coskun E, Öner V, Comez A, Erbagci I (2016) Clinical characteristics and surgical outcomes of paediatric rhegmatogenous retinal detachment. Int Ophthalmol 36(4):521–525

    Article  Google Scholar 

  29. Wenick AS, Baranano DE (2012) Evaluation and management of pediatric rhegmatogenous retinal detachment. Saudi J Ophthalmol, 26(3): 255e263.

  30. Mishra S, Wadhwani M, Kumar A, Chauhan R (2020) Outcome of pediatric retinal detachment using high-density silicone oil. Int Ophthalmol 40(11):1–6

    Article  Google Scholar 

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Acknowledgements

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Funding

Not applicable: No funding was necessary for this paper.

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Authors and Affiliations

  1. Instituto de Oftalmología Conde de Valenciana IAP, Mexico City, Mexico

    Mario Carranza-Casas, Erick Quiroz-González, Alejandro Hernández-Reyes, Rodrigo Matsui-Serrano, Enrique Ariza-Camacho & Federico Graue-Wiechers

Authors
  1. Mario Carranza-Casas
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  2. Erick Quiroz-González
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  3. Alejandro Hernández-Reyes
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  4. Rodrigo Matsui-Serrano
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  5. Enrique Ariza-Camacho
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  6. Federico Graue-Wiechers
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Contributions

MCC, EQG, AHR, RMS, EAC, FGW all made substantial contributions to the conception and design of the work; they also contributed to the acquisition, analysis and interpretation of data; MCC made a substantial contribution in drafting the manuscript with the rest making most of the revision. All authors read and approved the final manuscript and agreed both to be personally accountable for the contributions.

Corresponding author

Correspondence to Mario Carranza-Casas.

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Conflicts of interest

The authors declare that they have no competing interests or conflicts of interest to report.

Ethics approval and consent to participate

The corresponding ethics committee (Comité de Ética del instituto de Oftalmología Conde de Valenciana) approved this investigation and labeled it as Investigation without risk: The information obtained in the clinical records of the institution or directly from the patient will be kept under maximum confidentiality; therefore, no data will be published that could compromise the privacy of the patients.

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Consent for publication was obtained from the patient; our institutional consent form is available from the corresponding author on reasonable request.

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Carranza-Casas, M., Quiroz-González, E., Hernández-Reyes, A. et al. Pediatric rhegmatogenous retinal detachment: predictors of anatomic and functional success. Int Ophthalmol 41, 2777–2788 (2021). https://doi.org/10.1007/s10792-021-01834-w

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  • DOI: https://doi.org/10.1007/s10792-021-01834-w

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