title: Vitreous hemorrhage in pediatric age group.
abstract: Purpose. To identify and study causes of vitreous hemorrhage (VH) in pediatric age group and to investigate factors predicting visual and anatomical outcomes. Procedure. A retrospective review of patients aged 16 years or less with the diagnosis of vitreous hemorrhage from January 2005 until December 2010. Results. A total number of 230 patients (240 eyes) were identified. Traumatic vitreous hemorrhage accounted for 82.5%. In cases of accidental trauma, final visual acuity of 20/200 was significantly associated with visual acuity of ≥20/200 at presentation and the absence of retinal detachment at last follow-up. Patients with nontraumatic vitreous hemorrhage were significantly younger with higher rates of enucleation/evisceration/exenteration and retinal detachment at last follow-up compared to traumatic cases. Conclusion. Trauma is the most common cause of VH in pediatric age group. In this group, initial visual acuity was the most important predictor for visual outcome, and the presence of retinal detachment is a negative predictor for final good visual outcome. The outcome is significantly worse in nontraumatic cases compared to traumatic cases.
authors.affiliation: Division of Pediatric Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia ; Department and Division of Ophthalmology, College of Medicine, Qassim University, P.O. Box 4490, Buraidah, Qassim 51491, Saudi Arabia.
authors.forename: Dora H
authors.initials: DH
authors.lastname: AlHarkan
authors.affiliation: Vitreoretinal Division, King Khaled Eye Specialist Hospital, P.O. Box 7191, Riyadh 11462, Saudi Arabia.
authors.forename: Eman S
authors.initials: ES
authors.lastname: Kahtani
authors.affiliation: Department of Ophthalmology, King Abdulaziz University Hospital, Old Airport Road, P.O. Box 245, Riyadh 11411, Saudi Arabia.
authors.forename: Priscilla W
authors.initials: PW
authors.lastname: Gikandi
authors.affiliation: Department of Ophthalmology, King Abdulaziz University Hospital, Old Airport Road, P.O. Box 245, Riyadh 11411, Saudi Arabia ; Dr. Nasser Al-Rashid Research Chair in Ophthalmology, Riyadh, Saudi Arabia.
authors.forename: Ahmed M
authors.identifier: 0000-0003-2226-8617
authors.initials: AM
authors.lastname: Abu El-Asrar