Scientific correspondence
Anatomical and visual outcome of retinal detachment surgery in
children
T K H Butler, A W Kiel, G M Orr
Department of
Ophthalmology, Queen's Medical Centre, University Hospital Nottingham,
UK
Correspondence to: T K H Butler, Department of Ophthalmology, Eye, Ear Nose and Throat Centre, University Hospital, Queen's Medical Centre, Nottingham NG7 2UH, UK
Accepted for publication 9 July 2001
AIMS
To evaluate the
visual and anatomical outcome, as well as complications following
surgery, for rhegmatogenous retinal detachment in children at a
tertiary referral centre over a 5 year period.
METHODSA
retrospective survey of all children (aged 0-16 years) who underwent
primary retinal detachment surgery at Queen's Medical Centre between
April 1994 and March 1999.
RESULTS15 consecutive
patients were identified with a mean follow up of 14.7 months (range
3-57) and a mean age of 12.4 years. Trauma was the cause in 40%
(6/15). Complete retinal reattachment was achieved in 86.6% (13/15).
Visual improvement occurred in 53.3% (8/15), worsening of vision
occurred in 13.3% (2/15), with no change in the remaining 33.3%
(5/15). Visual acuity was D 6/12 in 6.6% (1/15) preoperatively, and
26.6% (4/15) postoperatively.
CONCLUSIONSRetinal
detachment in children is rare compared with adults. There are
therefore limited data available for this group of patients. These data
provide one unit's experience over a 5 year period, and may help
provide a basis for information for patients and their parents when
discussing the risks and potential benefits of surgery for retinal
detachment in the paediatric population.
© 2001 by British Journal of Ophthalmology
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