Pediatric Rhegmatogenous Retinal Detachment Clinical Trial
Official title:
Outcomes of Vitrectomy in Pediatric Retinal Detachment With Proliferative Vitreoretinopathy
The aim of this study is to report outcomes of pars plana vitrectomy (PPV) in pediatric
retinal detachment (RD) accompanied with proliferative vitreoretinopathy (PVR) as well as
complications and factors influencing the final anatomical and functional results.
This is retrospective consecutive case series of 14 eyes treated with primary PPV for RD
repair. Average postoperative follow-up period is 34 months.
This is the retrospective study of 14 consecutive patients younger than 18 years age who
underwent primary PPV at the Department of General Ophthalmology of Medical University of
Lublin in a time period from 1st January 2006 to 1st January 2017. This study followed the
tenets of the Declaration of Helsinki. The treatment chosen in the study was a part of a
standard care. Written informed consent was taken from all subjects. All patients underwent
vitreoretinal surgery due to RD (rhegmatogenous, tractional or combined rhegmatogenous and
tractional). Exclusion criteria from the study was the time of follow-up less than 6 months.
Average age at the time of the presence of RD was 10±4.7 years (range 4-17 years). Pre- and
postoperative data were collected. Descriptive statistical analysis included gender, age at
the presentation, laterality, etiology, duration of presenting symptoms, presences of ocular
comorbidities, macular status (attached or non-attached), presence of PVR grade C, initial
and final best-corrected visual acuity (BCVA), number of procedures, type of endotamponade
during PPV, final lens status, duration of the follow-up, anatomical success and
complications. Indications for PPV were as follows: presence of advanced PVR and/or total RD
and/or multiple breaks, giant retinal tears. PVR was graded according to the Retina Society
Terminology Classification [9]. Visual acuity was measured by Snellen charts. The anatomical
success was defined as persistent retinal reattachment at the last follow-up visit
(regardless of presence or absence of silicone oil tamponade).
Statistical computations were performed using STATISTICA 13PL (Stasoft, USA) programme.
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