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4/2018
vol. 120 abstract:
Original paper
The efficacy of conventional retinal detachment surgery in children and adolescents
Alina Bakunowicz-Łazarczyk
1, 2
,
Beata Urban
1, 2
,
Monika Fedor
2
1.
Klinika Okulistyki Dziecięcej z Ośrodkiem Leczenia Zeza Uniwersytetu Medycznego w Białymstoku
2.
Uniwersytecki Dziecięcy Szpital Kliniczny w Białymstoku
Online publish date: 2019/02/27
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Aim
To evaluate the efficacy of conventional rhegmatogenous retinal detachment surgery in children and adolescents. Material and methods Results of scleral buckling surgery, performed between 2010 and 2016, in 14 eyes of 14 patients aged 11–17 years (mean 15.4 years), with retinal detachment. Segmental episcleral buckling using silicone sponge involving 1–3 quadrants was performed in 12 eyes (with subretinal fluid drainage in 6 cases), whereas the 2 remaining eyes were treated with intrascleral buckling using silicone sponge involving 2 quadrants and subretinal fluid drainage. Results The procedure was successful with retinal reattachment achieved in 13 eyes (92.86%). At the final follow-up, one patient required vitrectomy due to recurrent retinal detachment with additional proliferative vitreoretinopathy. Visual acuity improved in 12 eyes (85.7%) and remained unchanged in 2 eyes (14.3%). Conclusions Scleral buckling surgery offers good efficacy with satisfactory anatomic outcomes in pediatric population, provided that accurate eligibility assessment is carried out at baseline. keywords:
retinal detachment, surgery, children |
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POLSKI
