The Anatomical and Functional Outcomes of Different Surgical Methods in Pediatric Retinal Surgeries

Özet

Purpose: The etiology of pediatric retinal detachments and the effects of different surgical methods on anatomical and functional outcomes were evaluated. Materials and Methods: Sixty-fi ve eyes of 61 children were retrospectively reviewed. Group 1 underwent vitrectomy with silicone, Group 2 underwent vitrectomy with silicone and scleral buckling (SB), and Group 3 underwent ILM removal, heavy silicone, and SB. Results: Four out of 61 children developed bilateral retinal detachment. Retinal re-detachment occurred in 11 eyes (57.8%) in Group 1, 8 eyes (33.3%) in Group 2, and 3 eyes (13.6%) in Group 3. Proliferative vitreoretinopathy (PVR) was present in 24.6% of cases.The VA was assessed by counting fi ngers (CF) (range LP- 20/200) preoperatively. After surgery, VA was CF at 2 m in Group 1, CF at 5 m in Group 2, and 20/50 in Group 3. In the last follow-up, the rate of patients with a BCVA of <20/200 was 46.7% and anatomical success was 85.3%. Conclusion: In detachments occurring in pediatric patients, vitrectomy combined with SB is more effective. Combining them with ILM extraction and heavy silicone use, if possible, has a high effect on surgical achievements and recurrences.