Pediatric retinal detachment in the Eastern Province of Saudi Arabia: experience of a tertiary care hospital.
OBJECTIVE
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.


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.


CONCLUSIONS
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.
Cheema
Rizwan A
RA
Dhahran Eye Specialist Hospital, Dhahran, Saudi Arabia. drrac@doctors.net.uk
Al-Khars
Wajeeha
W
Al-Askar
Essam
E
Amin
Yasir M
YM
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D009216:Myopia / Q000150:complications; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery*; D012189:Retrospective Studies; D012307:Risk Factors; D012529:Saudi Arabia / Q000453:epidemiology; D013997:Time Factors; D016896:Treatment Outcome; D014792:Visual Acuity; D018630:Vitreoretinopathy, Proliferative / Q000453:epidemiology*; D014822:Vitreous Body / Q000473:pathology
Jpn J Ophthalmol. 2001 Jul-Aug;45(4):409-11
11485775
Eur J Ophthalmol. 1999 Jul-Sep;9(3):231-7
10544979
Eye (Lond). 2007 Dec;21(12):1473-8
16878114
Retina. 1998;18(5):405-9
9801033
Eye (Lond). 2004 Sep;18(9):889-92
14752507
Br J Ophthalmol. 2001 Dec;85(12):1437-9
11734516
Ophthalmology. 1999 Jul;106(7):1399-407; discussion 1407-8
10406629
East Mediterr Health J. 2006 May-Jul;12(3-4):434-9
17037714
Ophthalmology. 2005 Oct;112(10):1834-7
16102835
Arch Ophthalmol. 1982 Feb;100(2):289-92
7065947