The outcomes of surgical intervention and clinical finding in pediatric rhegmatogenous retinal detachment

1. Pitra Ariesta¹
2. Andi Arus Victor²
3. Elvioza²
4. Aridjati Kusumo²
5. Gitalisa Andayani²

¹Department of Ophthalmology, Universitas Indonesia

PURPOSE: To report outcomes of surgical intervention and clinical finding cases of
Pediatric rhegmatogenous retinal detachment

METHODS: In this retrospective case series, pediatric patients with rhegmatogenous retinal detachment (RRD) who had surgical intervention were included. Cases were categorized into three main etiology groups: trauma (5 eyes); myopia alone (7 eyes) and genetic (2 eyes). Patients' demographic, clinical, and surgical outcomes, as well as fellow eye findings were evaluated

RESULTS: The mean age is 10 years and all of the patients were boys. Scleral buckling was the initial procedure in one eye, 11 eyes had underwent combined procedure vitrectomy, sclera buckling, tamponade silicone oil and procedures as a scleral buckling, lensectomy, intraocular lens implant, vitrectomy, endolaser and cryo in two eyes. Mean follow-up was 12 month. Vision improved after surgery in eight eyes. Visual acuity was >/=20/200 in 2 of eyes preoperatively and hand movement visual acuity in 8 of eyes preoperatively Vision improved after surgery in eight eyes, but overall visual results were modest. There is no patients had vision-threatening lesion and a history of retinal detachment in the fellow eye.

CONCLUSION: Trauma and high myopia were the leading etiologies in pediatric RRD in this case report. Pediatric RRD in this case associated with predisposing pathology. Surgery is successful in achieving anatomical reattachment of the retina in a majority of cases with improvement of visual acuity.