Unambiguous comparison of juvenile and senile rhegmatogenous retinal detachment.
OBJECTIVE
To investigate whether age is a prognostic factor in rhegmatogenous retinal detachment (RRD).


METHODS
The patient population was divided into two groups according to age at onset of RRD (juvenile R RD = younger than18 years and senile RRD = 65 years and older). The juvenile RRD group consisted of 35 patients and the senile RRD group consisted of 39 patients.


RESULTS
There were statistically higher incidences of male patients, trauma, subretinal fibrosis, and myopia in the juvenile RRD group compared withthe senile RRD group. In addition, there were statistical differences in the break characteristics, extent of RRD, and severity of proliferative vitreoretinopathy between the juvenile and senile RRD groups. However, no statistical differences were evident in the final retinal reattachment rate (88.6% vs 94.9%; P = .413) or the final visual outcome (P = .902) between juvenile RRD and senile RRD.


CONCLUSIONS
Clinical characteristics between juvenile and senile RRD are different. Although delayed diagnosis is common, the final surgical outcome in juvenile RRD is as promising as in senile RRD.
Wu
Wei-Chi
WC
Department of Ophthalmology, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
Lai
Chi-Chun
CC
See
Lai-Chu
LC
Tsao
Yeou-Ping
YP
Yang
Ko-Jen
KJ
Chen
Tun-Lu
TL
D000293:Adolescent; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000502:physiology*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D013508:Ophthalmologic Surgical Procedures; D011379:Prognosis; D012163:Retinal Detachment / Q000209:etiology / Q000503:physiopathology* / Q000601:surgery; D012189:Retrospective Studies; D012307:Risk Factors; D016896:Treatment Outcome