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Pediatric Retinal Detachment: Comparison of High Myopia and Extreme Myopia
  1. Nan-Kai Wang (wang.nankai{at}gmail.com),
  2. Yen-Po Chen,
  3. Chi-Chun Lai (chichun.lai{at}gmail.com),
  4. Tun-Lu Chen,
  5. Ko-Jen Yang,
  6. Ya-Hui Kuo,
  7. An-Ning Chao,
  8. Wei-Chi Wu,
  9. Kuan-Jen Chen,
  10. Yih-Shiou Hwang,
  11. Ling Yeung,
  12. Lara Liu
  1. Department of Ophthalmology, Chang Gung Memorial Hospital, Taiwan
  2. Department of Ophthalmology, Chang Gung Memorial Hospital, Taiwan
  3. Department of Ophthalmology, Chang Gung Memorial Hospital, Taiwan
  4. Department of Ophthalmology, Chang Gung Memorial Hospital, Taiwan
  5. Department of Ophthalmology, Chang Gung Memorial Hospital, Taiwan
  6. Department of Ophthalmology, Chang Gung Memorial Hospital, Taiwan
  7. Department of Ophthalmology, Chang Gung Memorial Hospital, Taiwan
  8. Department of Ophthalmology, Chang Gung Memorial Hospital, Taiwan
  9. Department of Ophthalmology, Chang Gung Memorial Hospital, Taiwan
  10. Department of Ophthalmology, Chang Gung Memorial Hospital, Taiwan
  11. Department of Ophthalmology, Chang Gung Memorial Hospital, Taiwan
  12. Department of Ophthalmology, Chang Gung Memorial Hospital, Taiwan

    Abstract

    Aims: To compare the clinical features and surgical outcomes of pediatric retinal detachment (RD) in high myopia and extreme myopia.

    Methods: The clinical charts of 107 children who experienced RD and had a spherical equivalent (SE) of at least 6.00 diopters (D) were reviewed. The patients were separated into high myopia group (SE, -6.0 to -10.0 D) and extreme myopia group (SE, greater than -10.0 D). RD characteristics and outcomes were compared between these two groups.

    Results: There were significant differences between the two groups in total RD (P < 0.001), the presence of posterior staphyloma (P < 0.001), and some types of breaks. More eyes in the extreme myopia group required vitrectomy after the initial RD repair. In the high myopia group, retinal reattachment was achieved in 79 eyes (97.5%) at the end of the intervention whereas in the extreme myopia group, retinal reattachment was achieved in 22 eyes (73.3%). Multiple logistic regression showed that a higher refractive error was the only negative predictor of surgical outcome (P = 0.026).

    Conclusion: Due to differences in etiologies, clinical characteristics, required surgical procedure after initial repair, surgical and functional outcomes, pediatric RD with extreme myopia should be addressed differently from pediatric RD with high myopia.

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