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Buckling, vitrectomy both correct rhegmatogenous retinal detachment in children

J AAPOS. 2008;12(6):551-554.

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Surgical intervention resulted in complete retinal reattachment in 204 of 230 eyes in a retrospective, interventional series of pediatric patients in India.

Primary buckling was done in 85 eyes with rhegmatogenous retinal detachment, and standard three-port pars plana vitrectomy with silicone oil tamponade was performed in 145 eyes. Success rates for reattachment were 83.5% and 94.3%, respectively.

Visual recovery, however, was modest. Ambulatory vision was successful if measured at 4/200 or better, and useful vision was considered 20/200 or better. Primary vitreoretinal surgery was significantly associated with poor visual outcome (less than 4/200) when compared with buckling (P < .0001).

"Buckling surgeries are preferred to vitreoretinal surgery wherever possible because vitrectomy is more complex and has a greater complication rate," the study authors said.

Peripheral retinal degeneration and trauma were the most common conditions leading to rhegmatogenous retinal detachment in children in this study.