Clinical Characteristics and Surgical Outcomes of Pediatric Retinal Detachments With Lens Disorders

Nan-Kai Wang; Tun-Lu Chen; Chi-Chun Lai; Ya-Hui Kuo; An-Ning Chao; Wei-Chi Wu; Kuan-Jen Chen; Yih-Shiou Hwang; Yen-Po Chen; Laura Liu
May 2009
Journal of Pediatric Ophthalmology & Strabismus;May/Jun2009, Vol. 46 Issue 3, p160
Academic Journal
Purpose: To describe the clinical characteristics and outcomes of eyes with retinal detachments with lens disorders and compare them to eyes with retinal detachments without lens disorders. Methods: A retrospective chart review of 42 eyes of 37 children who had retinal detachments with lens disorders was performed. Eyes were compared based on epidemiological data, characteristics of retinal detachment, and anatomical and functional surgical outcomes and were then compared to 254 eyes with retinal detachment without lens disorders. Results: In eyes with lens disorders, the retina was reattached after the first operation in 13 (31%) eyes and at the end of the intervention in 22 (52%) eyes. Surgical and visual outcomes appeared to be slightly better in the subluxation and dislocation group compared with cataract and aphakia or pseudophakia groups, in eyes without lens disorders, the retina was reattached in 202 (80%) eyes after the first intervention and in 228 (90%) eyes at the end of the intervention. Conclusion: Pediatric retinal detachment with a lens disorder is associated with unsatisfactory surgical and visual outcomes compared to those without lens disorders. Primary internal and external approaches are suggested in children with complicated retinal detachment with lens disorders.


Related Articles

  • Endophthalmitis Following Pediatric Cataract Surgery With a Good Outcome. Smith, Jennifer; Poulose, Abraham; Olitsky, Scott E. // Journal of Pediatric Ophthalmology & Strabismus;Jul/Aug2006, Vol. 43 Issue 4, p239 

    Endophthalmitis is a rare but potentially devastating complication following intraocular surgery. Endophthalmitis following intraocular surgery in children often has a poor outcome. We report a case of endophthalmitis after cataract extraction in a 6-year-old girl with a good visual result.

  • Lenticular Abnormalities in Children. Khokhar, Sudarshan; Agarwal, Tushar; Kumar, Gaurav; Kushmesh, Rakhi; Tejwani, Lalit Kumar // Journal of Pediatric Ophthalmology & Strabismus;Jan/Feb2012, Vol. 49 Issue 1, p32 

    Purpose: To study the lenticular problems in children presenting at an apex institute. Methods: Retrospective analysis of records (< 14 years) of new lens clinic cases was done. Results: Of 1,047 children, 687 were males. Mean age at presentation was 6.35 ± 4.13 years. Developmental cataract...

  • Causes of cataract surgery malpractice claims in England 1995–2008. Nadeem Ali // British Journal of Ophthalmology;Apr2011, Vol. 95 Issue 4, p490 

    AIMS: To analyse the causes of malpractice claims related specifically to cataract surgery in the National Health Service in England from 1995 to 2008. METHODS: All the malpractice claims related to cataract surgery from 1995 to 2008 from the National Health Service Litigation Authority were...

  • TYPES OF CATARACTS AND THEIR UNDERLYING CONDITIONS. Schroeder Swartz, Tracy // Optometry Times;Jun2014, Vol. 6 Issue 6, Special section p1 

    The article offers information on cataracts, which refers to a clouding of the crystalline lens, resulting in vision loss. Topics discussed include the symptoms associated with cataracts, the risk factors for this disease, and treatment options. Also mentioned are complications associated with...

  • Incidence of retinal detachment after macular surgery: a retrospective study of 634 cases. Guillaubey, Alexandre; Malvitte, Laure; Olivier Lafontaine, Pierre; Hubert, Isabelle; Bron, Alain; Berrod, Jean Paul; Creuzot-Garcher, Catherine // British Journal of Ophthalmology;Oct2007, Vol. 91 Issue 10, p1327 

    Aims: To evaluate the rate of retinal detachment after macular surgery. Methods: A retrospective non-randomised study of 634 macular surgery procedures was undertaken in two academic centres. Idiopathic macular hole (IMH) surgery (n = 272) and epiretinal membrane (ERM) surgery (n = 362) were...

  • Prevalence, Causes and Socio-Economic Determinants of Vision Loss in Cape Town, South Africa. Cockburn, Nicky; Steven, David; Lecuona, Karin; Joubert, Francois; Rogers, Graeme; Cook, Colin; Polack, Sarah // PLoS ONE;Feb2012, Vol. 7 Issue 2, p1 

    Purpose: To estimate the prevalence and causes of blindness and visual impairment in Cape Town, South Africa and to explore socio-economic and demographic predictors of vision loss in this setting. Methods: A cross sectional population-based survey was conducted in Cape Town. Eighty-two clusters...

  • Axial length possible risk factor in myopic clear lensectomy. Guttman, Cheryl // Ophthalmology Times;1/1/2002, Vol. 27 Issue 1, p20 

    Discusses the findings of study by John R. Shepherd about the risks posed by the axial length on patients who undergo clear lensectomy for myopia. Assessment of the incidence of retinal tears or detachments in cataract surgery patients; Significance of the study; Limitations of the study.

  • Pulsed electron avalanche knife: new technology for cataract surgery. Priglinger, Siegfried G.; Palanker, Daniel; Alge, Claudia S.; Kreutzer, Thomas C.; Haritoglou, Christos; Grueterich, Martin; Kampik, Anselm // British Journal of Ophthalmology;Jul2007, Vol. 91 Issue 7, p949 

    Background: The pulsed electron avalanche knife (PEAK-fc) is a new pulsed electrosurgical device that allows for precise, ‘cold’ and traction-free tissue dissection. Aim: To evaluate the surgical applicability, safety and potential complications of PEAK-fc in complicated cataract...

  • The cataract revolution: What the primary care physician needs to know. Weinstock, Frank J. // Geriatrics;Jun1993, Vol. 48 Issue 6, p52 

    Older patients often come first to their primary care physicians with complaints of blurred vision associated with cataracts. An initial office-based diagnosis includes a simple patient history and examination of the retina with an ophthalmoscope. Early referral for an ophthalmologic examination...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics