Pediatric Rhegmatogenous Retinal Detachment

Pediatric rhegmatogenous retinal detachment (RRD) has an annual incidence of approximately 3-12.4 cases per 100,000 populations. The two most common etiologies were trauma and myopia.Retinal detachments in this age tended to be complex. Most of the detachments involved the macula at the time of diagnosis, and many were chronic or of undetermined duration. Proliferative vitreoretinopathy and coexisting vitreous hemorrhage were frequent.Buckling surgeries were preferred to vitreoretinal surgery wherever possible because vitrectomy was more complex and has a greater complication rate. Moreover, the infant cortical vitreous was usually firmly adherent to the retina and difficult to separate from it mechanically and safely. In very young children, compliance with prone positioning was also difficult to achieve. (7)Posterior vitreous detachment with removal of the posterior hyaloid should be performed as completely as possible during the operation to minimize the possibility of postoperative contraction of the residual vitreous cortex causing break reopening, PVR changes, and severe epiretinal membrane formation. (131)We achieved retinal reattachment with anatomic and visual stabilization in most eyes for which surgery was attempted. These eyes probably will carry a lifelong risk of recurrent retinal detachment, glaucoma, and cataract, so the ultimate outcomes can be determined only with decades of follow-up.The tendency to bilateral ocular disease, and the finding that nearly 40% of the repaired eyes have better or equal VA compared to the.