title: Comparison of anatomic and functional results after retinotomy for retinal detachment in pediatric and adult patients.
abstract: OBJECTIVE
  We investigated characteristics and treatment outcomes of pediatric vs adult retinal detachment managed by retinotomy and retinectomy.
  
  
  METHODS
  This was a retrospective, nonrandomized, interventional study involving 20 pediatric patients and 25 adult patients operated with vitrectomy and retinectomy due to retinal detachment. Outcome measures included preoperative and postoperative visual acuity at 6 months and at final visit, postoperative proliferative vitreoretinopathy, silicone oil removal, final intraocular pressure (IOP), and final anatomic success, defined as complete retinal reattachment.
  
  
  RESULTS
  Reattachment was observed in 60% (12/20) of pediatric patients and 88% (22/25) of adults at final visit (p=0.041). Statistically significant improvement in visual acuity was observed in adults (p<0.001) but not in children (p=0.360) due to large proportion of anatomic failure. Children required a higher number of further reoperations (p=0.008). Postoperative proliferative vitreoretinopathy was significantly more frequent in pediatric eyes (p=0.003).
  
  
  CONCLUSIONS
  The clinical features and prognosis for pediatric retinotomies and retinectomies are different from those for adults. When a decision to perform retinotomy in children is made, we can anticipate significantly lower anatomic success than in adults. Even though the overall visual acuity was worse in children than in adults, 25% of pediatric eyes achieved 5/50 or better vision.
authors: Department of Ophthalmology, Poznan University of Medical Sciences, ul. Dluga 1/2, Poznan, Poland. stopa@usoms.poznan.pl
authors: Marcin
authors: M
authors: Stopa
authors: Jaroslaw
authors: J
authors: Kociecki
authors: Piotr
authors: P
authors: Rakowicz
authors: Anna
authors: A
authors: Gotz-Wieckowska
authors: Monika
authors: M
authors: Rogulska
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D004322:Drainage; D058450:Endotamponade; D005260:Female; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D012160:Retina / Q000503:physiopathology*; D012163:Retinal Detachment / Q000503:physiopathology / Q000601:surgery*; D012189:Retrospective Studies; D012827:Silicone Oils; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy; D055815:Young Adult
chemical_list: D012827:Silicone Oils