Klinika Oczna

Abstract

4/2018 vol. 120
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
DOI: https://doi.org/10.5114/ko.2018.82898
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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