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. 2001 Jul-Aug;45(4):409-11.
doi: 10.1016/s0021-5155(01)00361-6.

Surgical outcomes in juvenile retinal detachment

N Akabane  1 , S Yamamoto, I Tsukahara, M Ishida, Y Mitamura, T Yamamoto, S Takeuchi
Affiliations

Surgical outcomes in juvenile retinal detachment

N Akabane et al. Jpn J Ophthalmol. 2001 Jul-Aug.

Abstract

Purpose: To evaluate retrospectively clinical features and surgical outcomes of rhegmatogenous retinal detachment in juvenile patients.

Methods: Between 1991 and 1996, 28 patients younger than 15 years of age with rhegmatogenous retinal detachment (32 eyes) underwent the first surgical procedure, scleral buckling and/or pars plana vitrectomy, at our hospital.

Results: The major types of juvenile detachment, in order of frequency, were idiopathic, familial exudative vitreoretinopathy, trauma, and high myopia. Proliferative vitreoretinopathy (PVR) of grade C or D was involved in 12 cases (37.5%). Among the 12 eyes with PVR, 7 attained retinal reattachment after the first surgery with scleral buckling. The overall reattachment rate was 28/32 (87.5%) after the first operation and 30/32 (93.8%) after the second operation.

Conclusion: These findings indicate that the reattachment rate and visual prognosis can be as good in juvenile retinal detachment as in adult cases, when appropriate surgical procedures are used.

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