EPOS

European Paediatric Ophthalmological Society

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Paediatric Retinal Detachment: a Survey of a Paediatric Hospital

Català Mora Jaume¹, Diaz Cascajosa Jesus¹, Prat Bartomeu Joan^1
1Hospital Sant Joan de Déu. Esplugues de Llobregat. Barcelona

Introduction: Retinal detachment has a lower incidence in children than in adults. 15 % of all retinal detachments happen in paediatric patients; most of them are in boys and a 25% of the patients develop a bilateral retinal detachment. Methods: We have reviewed all patients operated of retinal detachment in the ophthalmology department from the Hospital Sant Joan de Déu in Esplugues de Llobregat, Barcelona from January 2004 until June 2009. We have included 44 patients with a minimum follow-up time of 6 months. Variables studied include: age of presentation, sex, aetiology, bilaterality, anatomic and visual result when recordable and number of surgeries per case. Results: We have divided the patients in five aetiological groups: trauma (20 %), structural alterations (25 %), myopia (11 %), previous intraocular surgery (10 %), and exudative diseases and uveitis (3 %). The median age of presentation was 9 y.o., 72 % of the patients were boys. 5/44 patients developed a bilateral retinal detachment and we achieved a 79.5 % of retinal reapplication after a median of 1.8 interventions. Conclusion: Bad prognostic factors in paediatric retinal detachment are young age, extension of the retinal detachment, low visual acuity at diagnosis and bilaterality. Anatomic reapplication tax is slightly lower than in adults although functional results are poorer. There is a higher risk of vitreoretinal proliferation, need of multiple surgeries and amblyopia.