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N.–K. Wang, C.–C. Lai, T.–L. Chen, Y.–H. Kuo, A.–N. Chao, W.–C. Wu, K.–J. Chen, Y.–P. Chen, L. Yeung; Traumatic Pediatric Retinal Detachment Following Open Globe Injury . Invest. Ophthalmol. Vis. Sci. 2006;47(13):5326.
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To describe the clinical features and surgical outcomes of RD following open globe injuries in a pediatric population.
The study performed a retrospective chart review of child patients with open globe eye injuries that underwent first–time RD surgical procedures between 1984 and 2003.
The study examined 33 patients (33 eyes); the mean age was 11 and the mean follow–up period was 57.1 months. A total of 25 patients (76%) were male. Of the eyes with open globe injuries, 21 eyes (64%) were penetrations, 6 eyes (18%) were intraocular foreign bodies, and 6 eyes (18%) were ruptures. Eighteen eyes (55%) had total RD and 23 eyes (70%) showed macular involvement. Twenty–one eyes (64%) were presented with proliferative vitreoretinopathy (PVR) grade C or worse. Retinal reattachment was successful in 12 eyes (36%). Best–corrected visual acuity of 20/100 or better was noted in 4 eyes (12%) preoperatively and 12 eyes (35%) postoperatively. Poor surgical outcome predictors included: undetermined or light perception–only preoperative vision (p=0.012); diagnosis via B–scan (p=0.003); the presence of PVR grade C or worse (p=0.001); total RD (p=0.001); and, macula–off status (p=0.016).
RD caused by open globe injuries in pediatric populations is associated with unsatisfactory surgical results and guarded visual outcomes despite modern surgical techniques. Intervention before retinal detachment diagnosis via serial echographic examination may be considered to reduce the incidence of PVR.
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