Abstract
Purpose
To evaluate the characteristics and analyze the results of patients who underwent pars plana vitrectomy (PPV) as the first surgery due to rhegmatogenous retinal detachment (RRD) in pediatric age.
Methods
The records of pediatric patients who underwent PPV alone due to RRD were reviewed retrospectively. The best corrected visual acuity (BCVA) values were recorded before and after the surgery. Complications during and after the operation, postoperative recurrences were followed-up.
Results
One hundred and six patients included in the study were followed-up for an average of 24.20 ± 11.38 months. The final mean BCVA showed a statistically significant improvement compared to the initial mean BCVA (p < 0.001). During the postoperative follow-up period, recurrent retinal detachment was seen in 31.1% of patients. Anatomical success was achieved at a rate of 68.9% after the first surgery and increased to 95.3% after repeated operations (in 78.3% without any tamponade). Both anatomical and functional success of patients with proliferative vitreoretinopathy (PVR) grade C or worse and patients with macula-off retinal status were poorer (each p value < 0.05). The effect of the etiological factor on anatomical and functional success was not significant (each p value > 0.05).
Conclusion
Satisfactory results can be obtained with PPV alone in pediatric RRD. However, it should be noted that postoperative complications and recurrences occur at a high rate and that repeated surgeries are often required. The presence of PVR and macular involvement are seen as negative prognostic factors to the success of surgery.
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The data that support the findings of this study are available from the corresponding author, upon reasonable request.
References
Butler TK, Kiel AW, Orr GM (2001) Anatomical and visual outcome of retinal detachment surgery in children. Br J Ophthalmol 85:1437–1439
Wang NK, Tsai CH, Chen YP et al (2005) Pediatric rhegmatogenous retinal detachment in East Asians. Ophthalmology 112:1890–1895
Soheilian M, Ramezani A, Malihi M et al (2009) Clinical features and surgical outcomes of pediatric rhegmatogenous retinal detachment. Retina 29:545–551
Soliman MM, Macky TA (2011) Pediatric rhegmatogenous retinal detachment. Int Ophthalmol Clin 51:147–171
Smith JM, Ward LT, Townsend JH et al (2019) Rhegmatogenous retinal detachment in children: clinical factors predictive of successful surgical repair. Ophthalmology 126:1263–1270
Retina Society Terminology Committee (1983) Classification of retinal detachment with proliferative vitreoretinopathy. Ophthalmology 90:121–125
Gonzales CR, Singh S, Yu F, Kreiger AE, Gupta A, Schwartz SD (2008) Pediatric rhegmatogenous retinal detachment: clinical features and surgical outcomes. Retina 28:847–852
Eibenberger K, Sacu S, Rezar-Dreindl S, Schmidt-Erfurth U, Stifter E, Georgopoulos M (2021) Clinical characteristics and surgical outcome of pediatric and early adulthood retinal detachment. Eur J Ophthalmol 31:1367–1374
Sin HPY, Yip WWK, Chan VCK, Young AL (2017) Etiologies and surgical outcomes of pediatric retinal detachment in Hong Kong. Int Ophthalmol 37:875–883
Rejdak R, Nowakowska D, Wrona K, Maciejewski R, Junemann AG, Nowomiejska K (2017) Outcomes of vitrectomy in pediatric retinal detachment with proliferative vitreoretinopathy. J Ophthalmol. https://doi.org/10.1155/2017/8109390
Huang YC, Chu YC, Wang NK et al (2019) Impact of etiology on the outcome of pediatric rhegmatogenous retinal detachment. Retina 39:118–126
Gurler B, Coskun E, Öner V, Comez A, Erbagci I (2016) Clinical characteristics and surgical outcomes of pediatric rhegmatogenous retinal detachment. Int Ophthalmol 36:521–525
Chang PY, Yang CM, Yang CH et al (2005) Clinical characteristics and surgical outcomes of pediatric rhegmatogenous retinal detachment in Taiwan. Am J Ophthalmol 139:1067–1072
Zhang Y, Wildsoet CF (2015) RPE and choroid mechanisms underlying ocular growth and myopia. Prog Mol Biol Transl Sci 134:221–240
Manayath GJ, Arora S, Parikh H, Shah PK, Tiwari S, Narendran V (2016) Is myopia a protective factor against central serous chorioretinopathy? Int J Ophthalmol 9:266–270
Sarrazin L, Averbukh E, Halpert M, Hemo I, Rumelt S (2004) Traumatic pediatric retinal detachment: a comparison between open and closed globe injuries. Am J Ophthalmol 137:1042–1049
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Ethical approval was received from the University of Health Sciences Turkey, Gaziosmanpasa Training and Research Hospital Ethics Committee (164; 23.09.2020).
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Kemer Atik, B., Erdogan, G., Kirmaci Kabakci, A. et al. The outcomes of primary pars plana vitrectomy alone as a first surgical procedure in pediatric rhegmatogenous retinal detachment. Int Ophthalmol 42, 3469–3478 (2022). https://doi.org/10.1007/s10792-022-02346-x
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DOI: https://doi.org/10.1007/s10792-022-02346-x