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Case Reports
. 2025 Feb 25;18(1):40-43.
doi: 10.4103/ojo.ojo_132_24. eCollection 2025 Jan-Apr.

Pediatric retinal detachments in eyes with extreme high myopia: Presenting features and final outcomes

Manavi D Sindal  1 , Sourabh Prasad Behera  1 , Vivek Chaitanya  1
Affiliations
Case Reports

Pediatric retinal detachments in eyes with extreme high myopia: Presenting features and final outcomes

Manavi D Sindal et al. Oman J Ophthalmol. .

Abstract

Extreme high myopia is associated with structural changes to the eye. The elongation of the eye, with associated choroidal thinning and macular atrophy, makes these eyes more susceptible to complex retinal detachments (RD). In this case series, we present the course of four pediatric cases with RD. All children had extreme myopia (-8.0 D to - 16.0 D). They presented with symptoms of squinting or abnormal pupillary reflex. Two had a choroidal detachment at presentation, whereas the other two had macular holes causing RD. All four required multiple surgical procedures, with anatomical success in three cases. Final visual acuity was no perception of light in all four eyes. Pediatric RD in extreme high myopia is challenging. Anatomical success needs multiple surgical procedures, but functional outcome remains dismal.

Keywords: Choroidal detachment; extreme high myopia; macular atrophy; pars plana vitrectomy; pediatric retinal detachment; retinal detachment; silicon oil.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Ultrasound B-scan images, (a) Case 2 at presentation showing vitreous hemorrhage, Retinal Detachment, and serous choroidal detachment, (b) Case 3 at presentation showing shallow retinal detachment in periphery, (c) Case 4 at presentation showing retinal detachment (yellow arrows) with shallow serous choroidal detachment, (d) Case 4 showing recurrent retinal detachment post silicon oil removal, (e) Case 4 at final visit showing closed funnel detachment with multiple subretinal echoes and early calcification of ocular coats
See this image and copyright information in PMC

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