Paediatric vs adult retinal detachment
Objective To evaluate the causes, incidences, characteristics, and treatment outcomes of paediatric vs adult retinal detachment. Patients and methods One hundred and sixty (136 patients) out of 2408 consecutive retinal detachments (6.6%) at our facility occurred in children under the age of 18 years...
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| Veröffentlicht in: | Eye (London) 2007-12, Vol.21 (12), p.1473-1478 |
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| creator | Rumelt, S Sarrazin, L Averbukh, E Halpert, M Hemo, I |
| description | Objective
To evaluate the causes, incidences, characteristics, and treatment outcomes of paediatric
vs
adult retinal detachment.
Patients and methods
One hundred and sixty (136 patients) out of 2408 consecutive retinal detachments (6.6%) at our facility occurred in children under the age of 18 years. Of them, 144 eyes (90%) of 127 (93%) children were treated and compared with a sample of 56 consecutive retinal detachments in 50 adults (over the age of 18 years). The parameters for comparison included cause, type of retinal detachment, its extent, macular involvement, number of tears, number and types of surgery, and the anatomic and functional surgical outcome.
Results
Statistically significant differences were found in the type of retinal detachment. Rhegmatogenous RD was less common (
P
=0.004), and exudative RD was more common (
P
=0.021) in the paediatric group. Ocular trauma and ocular syndromes were more common in the paediatric group (
P |
| doi_str_mv | 10.1038/sj.eye.6702511 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_69083447</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>69083447</sourcerecordid><originalsourceid>FETCH-LOGICAL-c430t-3da02eb0fb692c65e6ee3da12a8f80b1800feb44881357085dab3588f0b41aa53</originalsourceid><addsrcrecordid>eNp10M9LwzAUB_AgipvTq0cZgrt1ey9N0uwow18w0IOCt5C2r9rRH5q0wv57IysOBE-BvM_7wZexc4Q5QqwXfjOnLc1VAlwiHrAxikRFUkhxyMawlBBxzl9H7MT7DUAoJnDMRqh0ohHFmM2eLOWl7VyZTb_81OZ91U0ddWVjq2lOnc3ea2q6U3ZU2MrT2fBO2MvtzfPqPlo_3j2srtdRJmLooji3wCmFIlVLnilJiij8Ibe60JCiBigoFUJrjGUCWuY2jaXWBaQCrZXxhM12cz9c-9mT70xd-oyqyjbU9t6oJehYiCTAyz9w0_YuHO0NRx0rFAoDmu9Q5lrvHRXmw5W1dVuDYH7iM35jQnxmiC80XAxT-7SmfM-HvAK4GoD1ma0KZ5us9L-OA4TtyINb7JwPpeaN3P68f1Z_AyY0hrU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>218361461</pqid></control><display><type>article</type><title>Paediatric vs adult retinal detachment</title><source>MEDLINE</source><source>SpringerLink (Online service)</source><source>EZB Electronic Journals Library</source><creator>Rumelt, S ; Sarrazin, L ; Averbukh, E ; Halpert, M ; Hemo, I</creator><creatorcontrib>Rumelt, S ; Sarrazin, L ; Averbukh, E ; Halpert, M ; Hemo, I</creatorcontrib><description>Objective
To evaluate the causes, incidences, characteristics, and treatment outcomes of paediatric
vs
adult retinal detachment.
Patients and methods
One hundred and sixty (136 patients) out of 2408 consecutive retinal detachments (6.6%) at our facility occurred in children under the age of 18 years. Of them, 144 eyes (90%) of 127 (93%) children were treated and compared with a sample of 56 consecutive retinal detachments in 50 adults (over the age of 18 years). The parameters for comparison included cause, type of retinal detachment, its extent, macular involvement, number of tears, number and types of surgery, and the anatomic and functional surgical outcome.
Results
Statistically significant differences were found in the type of retinal detachment. Rhegmatogenous RD was less common (
P
=0.004), and exudative RD was more common (
P
=0.021) in the paediatric group. Ocular trauma and ocular syndromes were more common in the paediatric group (
P
<0.001), while myopia, posterior vitreous detachment, and retinal detachment following cataract surgery were less common in this group compared with adults (
P
<0.001, <0.001, and 0.001, respectively). Ocular pathologies associated with retinal detachment were more common in the paediatric group (
P
<0.001). Initial and last visual acuity of >20/400, last visual acuity of >20/40, and retinal complete reattachment were higher in adults (
P
<0.001).
Conclusions
The type of retinal detachment, causes and outcomes were statistically different between paediatric and adult cases. The less successful functional and anatomical outcomes of retinal detachment surgery in children may reflect the different aetiologies and indicate the need for aetiology-specific treatment strategies according to each aetiology.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/sj.eye.6702511</identifier><identifier>PMID: 16878114</identifier><identifier>CODEN: EYEEEC</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adolescent ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Child ; Child, Preschool ; clinical-study ; Eye Injuries - complications ; Female ; Follow-Up Studies ; Humans ; Infant ; Intraoperative Complications ; Laboratory Medicine ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Miscellaneous ; Myopia - complications ; Ophthalmology ; Pharmaceutical Sciences/Technology ; Postoperative Complications ; Reoperation ; Retinal Detachment - etiology ; Retinal Detachment - surgery ; Retinopathies ; Scleral Buckling ; Surgery ; Surgical Oncology ; Treatment Outcome ; Visual Acuity ; Vitrectomy</subject><ispartof>Eye (London), 2007-12, Vol.21 (12), p.1473-1478</ispartof><rights>Royal College of Ophthalmologists 2007</rights><rights>2008 INIST-CNRS</rights><rights>Copyright Nature Publishing Group Dec 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c430t-3da02eb0fb692c65e6ee3da12a8f80b1800feb44881357085dab3588f0b41aa53</citedby><cites>FETCH-LOGICAL-c430t-3da02eb0fb692c65e6ee3da12a8f80b1800feb44881357085dab3588f0b41aa53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/sj.eye.6702511$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/sj.eye.6702511$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20021812$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16878114$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rumelt, S</creatorcontrib><creatorcontrib>Sarrazin, L</creatorcontrib><creatorcontrib>Averbukh, E</creatorcontrib><creatorcontrib>Halpert, M</creatorcontrib><creatorcontrib>Hemo, I</creatorcontrib><title>Paediatric vs adult retinal detachment</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description>Objective
To evaluate the causes, incidences, characteristics, and treatment outcomes of paediatric
vs
adult retinal detachment.
Patients and methods
One hundred and sixty (136 patients) out of 2408 consecutive retinal detachments (6.6%) at our facility occurred in children under the age of 18 years. Of them, 144 eyes (90%) of 127 (93%) children were treated and compared with a sample of 56 consecutive retinal detachments in 50 adults (over the age of 18 years). The parameters for comparison included cause, type of retinal detachment, its extent, macular involvement, number of tears, number and types of surgery, and the anatomic and functional surgical outcome.
Results
Statistically significant differences were found in the type of retinal detachment. Rhegmatogenous RD was less common (
P
=0.004), and exudative RD was more common (
P
=0.021) in the paediatric group. Ocular trauma and ocular syndromes were more common in the paediatric group (
P
<0.001), while myopia, posterior vitreous detachment, and retinal detachment following cataract surgery were less common in this group compared with adults (
P
<0.001, <0.001, and 0.001, respectively). Ocular pathologies associated with retinal detachment were more common in the paediatric group (
P
<0.001). Initial and last visual acuity of >20/400, last visual acuity of >20/40, and retinal complete reattachment were higher in adults (
P
<0.001).
Conclusions
The type of retinal detachment, causes and outcomes were statistically different between paediatric and adult cases. The less successful functional and anatomical outcomes of retinal detachment surgery in children may reflect the different aetiologies and indicate the need for aetiology-specific treatment strategies according to each aetiology.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>clinical-study</subject><subject>Eye Injuries - complications</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Infant</subject><subject>Intraoperative Complications</subject><subject>Laboratory Medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Myopia - complications</subject><subject>Ophthalmology</subject><subject>Pharmaceutical Sciences/Technology</subject><subject>Postoperative Complications</subject><subject>Reoperation</subject><subject>Retinal Detachment - etiology</subject><subject>Retinal Detachment - surgery</subject><subject>Retinopathies</subject><subject>Scleral Buckling</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Treatment Outcome</subject><subject>Visual Acuity</subject><subject>Vitrectomy</subject><issn>0950-222X</issn><issn>1476-5454</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp10M9LwzAUB_AgipvTq0cZgrt1ey9N0uwow18w0IOCt5C2r9rRH5q0wv57IysOBE-BvM_7wZexc4Q5QqwXfjOnLc1VAlwiHrAxikRFUkhxyMawlBBxzl9H7MT7DUAoJnDMRqh0ohHFmM2eLOWl7VyZTb_81OZ91U0ddWVjq2lOnc3ea2q6U3ZU2MrT2fBO2MvtzfPqPlo_3j2srtdRJmLooji3wCmFIlVLnilJiij8Ibe60JCiBigoFUJrjGUCWuY2jaXWBaQCrZXxhM12cz9c-9mT70xd-oyqyjbU9t6oJehYiCTAyz9w0_YuHO0NRx0rFAoDmu9Q5lrvHRXmw5W1dVuDYH7iM35jQnxmiC80XAxT-7SmfM-HvAK4GoD1ma0KZ5us9L-OA4TtyINb7JwPpeaN3P68f1Z_AyY0hrU</recordid><startdate>20071201</startdate><enddate>20071201</enddate><creator>Rumelt, S</creator><creator>Sarrazin, L</creator><creator>Averbukh, E</creator><creator>Halpert, M</creator><creator>Hemo, I</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20071201</creationdate><title>Paediatric vs adult retinal detachment</title><author>Rumelt, S ; Sarrazin, L ; Averbukh, E ; Halpert, M ; Hemo, I</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c430t-3da02eb0fb692c65e6ee3da12a8f80b1800feb44881357085dab3588f0b41aa53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2007</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>clinical-study</topic><topic>Eye Injuries - complications</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Infant</topic><topic>Intraoperative Complications</topic><topic>Laboratory Medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Myopia - complications</topic><topic>Ophthalmology</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Postoperative Complications</topic><topic>Reoperation</topic><topic>Retinal Detachment - etiology</topic><topic>Retinal Detachment - surgery</topic><topic>Retinopathies</topic><topic>Scleral Buckling</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Treatment Outcome</topic><topic>Visual Acuity</topic><topic>Vitrectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rumelt, S</creatorcontrib><creatorcontrib>Sarrazin, L</creatorcontrib><creatorcontrib>Averbukh, E</creatorcontrib><creatorcontrib>Halpert, M</creatorcontrib><creatorcontrib>Hemo, I</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biological Sciences</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Biological Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Eye (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rumelt, S</au><au>Sarrazin, L</au><au>Averbukh, E</au><au>Halpert, M</au><au>Hemo, I</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Paediatric vs adult retinal detachment</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><addtitle>Eye (Lond)</addtitle><date>2007-12-01</date><risdate>2007</risdate><volume>21</volume><issue>12</issue><spage>1473</spage><epage>1478</epage><pages>1473-1478</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><coden>EYEEEC</coden><abstract>Objective
To evaluate the causes, incidences, characteristics, and treatment outcomes of paediatric
vs
adult retinal detachment.
Patients and methods
One hundred and sixty (136 patients) out of 2408 consecutive retinal detachments (6.6%) at our facility occurred in children under the age of 18 years. Of them, 144 eyes (90%) of 127 (93%) children were treated and compared with a sample of 56 consecutive retinal detachments in 50 adults (over the age of 18 years). The parameters for comparison included cause, type of retinal detachment, its extent, macular involvement, number of tears, number and types of surgery, and the anatomic and functional surgical outcome.
Results
Statistically significant differences were found in the type of retinal detachment. Rhegmatogenous RD was less common (
P
=0.004), and exudative RD was more common (
P
=0.021) in the paediatric group. Ocular trauma and ocular syndromes were more common in the paediatric group (
P
<0.001), while myopia, posterior vitreous detachment, and retinal detachment following cataract surgery were less common in this group compared with adults (
P
<0.001, <0.001, and 0.001, respectively). Ocular pathologies associated with retinal detachment were more common in the paediatric group (
P
<0.001). Initial and last visual acuity of >20/400, last visual acuity of >20/40, and retinal complete reattachment were higher in adults (
P
<0.001).
Conclusions
The type of retinal detachment, causes and outcomes were statistically different between paediatric and adult cases. The less successful functional and anatomical outcomes of retinal detachment surgery in children may reflect the different aetiologies and indicate the need for aetiology-specific treatment strategies according to each aetiology.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>16878114</pmid><doi>10.1038/sj.eye.6702511</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0950-222X |
| ispartof | Eye (London), 2007-12, Vol.21 (12), p.1473-1478 |
| issn | 0950-222X 1476-5454 |
| language | eng |
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| source | MEDLINE; SpringerLink (Online service); EZB Electronic Journals Library |
| subjects | Adolescent Adult Age Factors Aged Aged, 80 and over Biological and medical sciences Child Child, Preschool clinical-study Eye Injuries - complications Female Follow-Up Studies Humans Infant Intraoperative Complications Laboratory Medicine Male Medical sciences Medicine Medicine & Public Health Middle Aged Miscellaneous Myopia - complications Ophthalmology Pharmaceutical Sciences/Technology Postoperative Complications Reoperation Retinal Detachment - etiology Retinal Detachment - surgery Retinopathies Scleral Buckling Surgery Surgical Oncology Treatment Outcome Visual Acuity Vitrectomy |
| title | Paediatric vs adult retinal detachment |
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