Pediatric Retinal Detachment: A Comparison Between High Myopia and Excessive High Myopia

Abstract

Purpose:: To compare pediatric retinal detachment in high myopia and excessive high myopia.

Methods:: A retrospective chart review in pediatric retinal detachment younger than 18 years old with high myopia or excessive high myopia who underwent the first surgical procedure at CGMH between 1983 and 2003.

Results:: Ninety-three eyes were high myopia and 24 eyes were excessive high myopia. . Mean age was 16.2 years old in high myopia group and 14.1 years old in excessive high myopia group. Pre-operative and post-operative visual acuity was shown in Figure. There is a higher percentage of congenital anomaly in excessive high myopia group (31.3%) compared with high myopia group (3.5%) (p<0.001). Anatomic surgical success was achieved in 83 eyes (97.6%) in high myopia group and 24 eyes (75%) in excessive high myopia group (p<0.001). The post-operative visual acuity≥ 20/200 was 84.7% in high myopia group and 46.9% in excessive high myopia group. (p<0.001)

Conclusions:: The anatomic and functional outcome was quite different, suggesting that further surgical innovation is required to improve the visual outcome in excessive high myopia group.

Keywords: retinal detachment • myopia