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[Evaluation of treatment for retinal detachment in juveniles].
Zhonghua Yan Ke Za Zhi. 2001 May; 37(3):167-70.ZY

Abstract

OBJECTIVE

To assess the effectiveness of different surgeries for retinal detachment in juveniles.

METHODS

A retrospective analysis of the clinical therapeutic effects of various surgical treatments on 108 cases (116 eyes) in the age range of 3 - 14 years (mean, 9.6 years) was performed.

RESULTS

Twenty-one eyes underwent scleral buckling procedure, and the retina was reattached in 19 eyes primarily. Fourteen eyes obtained post-operative visual acuity >or= 0.02. Ninety-seven eyes underwent vitrectomy, 58 (59.8%) eyes achieved retinal reattachment primarily and 83 eyes (85.6%) achieved retinal reattachment finally. Among them, retinal reattachment occurred in 7 of 11 gas-filled eyes, and the post-operative visual acuity >or= 0.02 in 5 eyes; and the reattachment occurred in 51 (57.3%) of 89 silicone oil-filled eyes, requiring only the primary repair. Of the silicone oil-filled eyes, 76 (85.4%) eyes achieved retinal reattachment finally. Fifty-nine (66.3%) silicone oil-treated eyes had visual acuity >or= 0.02 compared with 45.5% in long-acting-gas-treated eyes.

CONCLUSIONS

Scleral buckling is a beneficial method in treatment of retinal detachment in juveniles. Vitrectomy should be considered for complicated retinal detachment. There is an advantage favoring silicone oil tamponade in achieving retinal reattachment. Retinotomy is a useful procedure for the retinal reattachment in eyes with severe proliferative vitreoretinopathy, however, it is necessary to be careful in selection of cases to undergo such a procedure.

Authors+Show Affiliations

Jiang Y
Department of Ophthalmology, People's Hospital, Peking University, Beijing 100044, China.
Li X
No affiliation info available
Yin C
No affiliation info available

MeSH

AdolescentCataractChildChild, PreschoolFemaleGlaucomaHumansMaleOcular HypotensionPostoperative ComplicationsRetinaRetinal DetachmentRetrospective StudiesScleral BucklingTreatment OutcomeVisual AcuityVitrectomyVitreoretinopathy, Proliferative

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

chi

PubMed ID

11864413

Citation

Jiang, Y, et al. "[Evaluation of Treatment for Retinal Detachment in Juveniles]." [Zhonghua Yan Ke Za Zhi] Chinese Journal of Ophthalmology, vol. 37, no. 3, 2001, pp. 167-70.
Jiang Y, Li X, Yin C. [Evaluation of treatment for retinal detachment in juveniles]. Zhonghua Yan Ke Za Zhi. 2001;37(3):167-70.
Jiang, Y., Li, X., & Yin, C. (2001). [Evaluation of treatment for retinal detachment in juveniles]. [Zhonghua Yan Ke Za Zhi] Chinese Journal of Ophthalmology, 37(3), 167-70.
Jiang Y, Li X, Yin C. [Evaluation of Treatment for Retinal Detachment in Juveniles]. Zhonghua Yan Ke Za Zhi. 2001;37(3):167-70. PubMed PMID: 11864413.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Evaluation of treatment for retinal detachment in juveniles]. AU - Jiang,Y, AU - Li,X, AU - Yin,C, PY - 2002/2/28/pubmed PY - 2003/10/9/medline PY - 2002/2/28/entrez SP - 167 EP - 70 JF - [Zhonghua yan ke za zhi] Chinese journal of ophthalmology JO - Zhonghua Yan Ke Za Zhi VL - 37 IS - 3 N2 - OBJECTIVE: To assess the effectiveness of different surgeries for retinal detachment in juveniles. METHODS: A retrospective analysis of the clinical therapeutic effects of various surgical treatments on 108 cases (116 eyes) in the age range of 3 - 14 years (mean, 9.6 years) was performed. RESULTS: Twenty-one eyes underwent scleral buckling procedure, and the retina was reattached in 19 eyes primarily. Fourteen eyes obtained post-operative visual acuity >or= 0.02. Ninety-seven eyes underwent vitrectomy, 58 (59.8%) eyes achieved retinal reattachment primarily and 83 eyes (85.6%) achieved retinal reattachment finally. Among them, retinal reattachment occurred in 7 of 11 gas-filled eyes, and the post-operative visual acuity >or= 0.02 in 5 eyes; and the reattachment occurred in 51 (57.3%) of 89 silicone oil-filled eyes, requiring only the primary repair. Of the silicone oil-filled eyes, 76 (85.4%) eyes achieved retinal reattachment finally. Fifty-nine (66.3%) silicone oil-treated eyes had visual acuity >or= 0.02 compared with 45.5% in long-acting-gas-treated eyes. CONCLUSIONS: Scleral buckling is a beneficial method in treatment of retinal detachment in juveniles. Vitrectomy should be considered for complicated retinal detachment. There is an advantage favoring silicone oil tamponade in achieving retinal reattachment. Retinotomy is a useful procedure for the retinal reattachment in eyes with severe proliferative vitreoretinopathy, however, it is necessary to be careful in selection of cases to undergo such a procedure. SN - 0412-4081 UR - https://www.unboundmedicine.com/medline/citation/11864413/[Evaluation_of_treatment_for_retinal_detachment_in_juveniles]_ L2 - https://medlineplus.gov/retinaldetachment.html DB - PRIME DP - Unbound Medicine ER -