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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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Autores principales: Cheema, Rizwan A., Al-Khars, Wajeeha, Al-Askar, Essam, Amin, Yasir M.
Formato: Texto
Lenguaje:English
Publicado: Medknow Publications 2009
Materias:
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.
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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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