title: Retinal detachment in paediatric patients.
abstract: OBJECTIVE
  To assess the causes of retinal detachment in children and the various operative procedures requiring vitreoretinal surgical intervention for the same.
  
  
  METHODS
  Case series.
  
  
  METHODS
  Department of Ophthalmology, Al-Shifa Trust Eye Hospital, Rawalpindi, from January 2006 to May 2009.
  
  
  METHODS
  A total of 281 eyes of 258 patients, (aged 0-18 years) who underwent vitreo-retinal surgical intervention for retinal detachment were included. Surgical log was searched for the type of retinal detachment and its causes. Frequencies of various interventions done in these patients viz. vitrectomy, scleral buckle, use of tamponading agents, laser photocoagulation and cryotherapy were noted. Results were described as descriptive statistics.
  
  
  RESULTS
  Myopia was the cause in 62 (22.1%) and trauma in 51 (18.1%) of the eyes. Total retinal detachment (RD) was treated in 94 (33.5%) eyes, sub total RD in 36 (12.8%), recurrent RD in 32 (11.4%), giant retinal tear in 28 (10%), tractional RD in 15 (5.3%) and exudative RD in 2 (0.7%). Prophylactic laser or cryotherapy was applied in 74 (26.3%) of the eyes. Pars plana vitrectomy (PPV) was carried out in 159 (56.6%) eyes while scleral buckle procedure was done in 129 (45.9%) eyes. Silicon oil was used in 149 (53%), perfluorocarbon liquid in 32 (11.4%) and gas tamponade in 20 (7.1%) eyes.
  
  
  CONCLUSIONS
  The most common cause of retinal detachment in paediatric patients was myopia, followed by trauma. Total RD was more common as compared to the other types. The most common procedure adopted was pars plana vitrectomy followed by scleral buckle procedure.
authors.affiliation: Department of Ophthalmology, Al-Shifa Trust Eye Hospital, Rawalpindi. saemahsaqib@yahoo.co.uk
authors.forename: Saemah Nuzhat
authors.initials: SN
authors.lastname: Zafar
authors.forename: Nadeem
authors.initials: N
authors.lastname: Qureshi
authors.forename: Nadia
authors.initials: N
authors.lastname: Azad
authors.forename: Ayesha
authors.initials: A
authors.lastname: Khan
mesh_terms: D000293:Adolescent; D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009216:Myopia / Q000150:complications / Q000601:surgery; D010154:Pakistan / Q000453:epidemiology; D012163:Retinal Detachment / Q000453:epidemiology / Q000209:etiology / Q000601:surgery*; D012167:Retinal Perforations / Q000150:complications / Q000209:etiology / Q000601:surgery; D012307:Risk Factors; D017678:Sex Distribution; D016896:Treatment Outcome; D014821:Vitrectomy; D057586:Vitreoretinal Surgery / Q000379:methods*