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Pediatric retinal detachment in the Eastern Province of Saudi Arabia: experience of a tertiary care hospital
BACKGROUND AND OBJECTIVES: Because no previous studies have addressed the issue, we describe clinical characteristics and surgical outcome of patients with rhegmatogenous retinal detachment (RRD) in a pediatric population of the Eastern province of Saudi Arabia. PATIENTS AND METHODS: We conducted a...
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Formato: | Texto |
Lenguaje: | English |
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Medknow Publications
2009
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2860400/ https://www.ncbi.nlm.nih.gov/pubmed/19700893 http://dx.doi.org/10.4103/0256-4947.55165 |
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author | Cheema, Rizwan A. Al-Khars, Wajeeha Al-Askar, Essam Amin, Yasir M. |
author_facet | Cheema, Rizwan A. Al-Khars, Wajeeha Al-Askar, Essam Amin, Yasir M. |
author_sort | Cheema, Rizwan A. |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: Because no previous studies have addressed the issue, we describe clinical characteristics and surgical outcome of patients with rhegmatogenous retinal detachment (RRD) in a pediatric population of the Eastern province of Saudi Arabia. PATIENTS AND METHODS: We conducted a retrospective review of all consecutive cases of pediatric RRD (0-18 years) patients presenting at Dhahran Eye Specialist Hospital, a tertiary care hospital, in the Eastern Province of Saudi Arabia over a period of 3 years. RESULTS: Twenty patients were included in the study, accounting for 9.4% of all retinal detachment surgery cases performed over a period of 3 years (January 2006 to December 2008). The median age was 11.0 years, (range, birth to 18 years). Trauma, (45%) myopia/vitreoretinal degeneration (10%) and prior ocular surgery (25%) were significant risk factors for RRD. Proliferative vitreoretinopathy (PVR) more than grade C was present in 14/20 (70%) of cases. Most patients (15/20, 75%) were treated with pars plana vitrectomy and placement of an encircling buckle, while silicone oil or gas was used as tamponade in 13/20 (65%) patients. Surgery was successful in 17/20 (85%) cases in achieving retinal re-attachment. Visual acuity improved significantly following surgery (Mean preop 2.146 LogMAR, Mean postop 1.497 LogMAR) (P=.014). Longer duration of RRD (P=.007) and macular involvement (P=.05) were associated with worse anatomical outcomes following surgery. CONCLUSION: Pediatric RRD in the Eastern province is often associated with predisposing pathology. Surgery is successful in achieving anatomical reattachment of the retina in a majority of cases with improvement of visual acuity. |
format | Text |
id | pubmed-2860400 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2009 |
publisher | Medknow Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-28604002010-05-03 Pediatric retinal detachment in the Eastern Province of Saudi Arabia: experience of a tertiary care hospital Cheema, Rizwan A. Al-Khars, Wajeeha Al-Askar, Essam Amin, Yasir M. Ann Saudi Med Original Article BACKGROUND AND OBJECTIVES: Because no previous studies have addressed the issue, we describe clinical characteristics and surgical outcome of patients with rhegmatogenous retinal detachment (RRD) in a pediatric population of the Eastern province of Saudi Arabia. PATIENTS AND METHODS: We conducted a retrospective review of all consecutive cases of pediatric RRD (0-18 years) patients presenting at Dhahran Eye Specialist Hospital, a tertiary care hospital, in the Eastern Province of Saudi Arabia over a period of 3 years. RESULTS: Twenty patients were included in the study, accounting for 9.4% of all retinal detachment surgery cases performed over a period of 3 years (January 2006 to December 2008). The median age was 11.0 years, (range, birth to 18 years). Trauma, (45%) myopia/vitreoretinal degeneration (10%) and prior ocular surgery (25%) were significant risk factors for RRD. Proliferative vitreoretinopathy (PVR) more than grade C was present in 14/20 (70%) of cases. Most patients (15/20, 75%) were treated with pars plana vitrectomy and placement of an encircling buckle, while silicone oil or gas was used as tamponade in 13/20 (65%) patients. Surgery was successful in 17/20 (85%) cases in achieving retinal re-attachment. Visual acuity improved significantly following surgery (Mean preop 2.146 LogMAR, Mean postop 1.497 LogMAR) (P=.014). Longer duration of RRD (P=.007) and macular involvement (P=.05) were associated with worse anatomical outcomes following surgery. CONCLUSION: Pediatric RRD in the Eastern province is often associated with predisposing pathology. Surgery is successful in achieving anatomical reattachment of the retina in a majority of cases with improvement of visual acuity. Medknow Publications 2009 /pmc/articles/PMC2860400/ /pubmed/19700893 http://dx.doi.org/10.4103/0256-4947.55165 Text en © Annals of Saudi Medicine http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Cheema, Rizwan A. Al-Khars, Wajeeha Al-Askar, Essam Amin, Yasir M. Pediatric retinal detachment in the Eastern Province of Saudi Arabia: experience of a tertiary care hospital |
title | Pediatric retinal detachment in the Eastern Province of Saudi Arabia: experience of a tertiary care hospital |
title_full | Pediatric retinal detachment in the Eastern Province of Saudi Arabia: experience of a tertiary care hospital |
title_fullStr | Pediatric retinal detachment in the Eastern Province of Saudi Arabia: experience of a tertiary care hospital |
title_full_unstemmed | Pediatric retinal detachment in the Eastern Province of Saudi Arabia: experience of a tertiary care hospital |
title_short | Pediatric retinal detachment in the Eastern Province of Saudi Arabia: experience of a tertiary care hospital |
title_sort | pediatric retinal detachment in the eastern province of saudi arabia: experience of a tertiary care hospital |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2860400/ https://www.ncbi.nlm.nih.gov/pubmed/19700893 http://dx.doi.org/10.4103/0256-4947.55165 |
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