Pediatric Retinal Detachment Surgical Reports From Tertiary Hospital In Jakarta, Indonesia

Simanjuntak, Gilbert W S (2020) Pediatric Retinal Detachment Surgical Reports From Tertiary Hospital In Jakarta, Indonesia. Journal Of The Medical Assosiation of Thailand.

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Abstract

Purpose : Pediatric retinal detachment is a rare case. We report the surgical management and its outcome. Material and Methods : Retrospective descriptive study of surgical management of pediatric retinal detachment. Result: There were 13 patients (13 eyes) with ages 3 – 17 years, 10 were male and 3 were female. Causes of detachment were trauma (69.2%), high myopia >3 dioptre (15.4%), previous lensectomy procedure (7.7%), and exudative retinopathy (7.7%). The duration of detachment ranges between 2 - 156 weeks (X: 32.08 +/- 49.31). Twelve cases were managed with vitrectomy and one with scleral buckle. Anatomically attached retina was achieved in 9 cases, the failed cases caused by reproliferation of vitreous. VA improved in 8 cases, stable in 4 cases and decrease in 1 case (p-value= 0.14). Silicone oil was used in 9 cases, SF6 gas in 3 cases. Despite retina attached in 69.2%, VA was not improved significantly. Complications were secondary glaucoma, cataract and macular pucker. Follow up ranges from 9 days – 15 months, three patients had follow-up visit less than two weeks. Conclusion : In pediatric retinal detachment, long detachment and those caused by injury have a poor prognosis for visual improvement. Key words : pediatric, retinal detachment, injury, local anesthesia

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