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Poor prognosis for retinal detachment caused by open globe injuries in children, study finds
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Retinal detachments caused by open globe injuries in children are associated with poor surgical and visual outcomes, a retrospective study found.
Nan-Kai Wang, MD, and colleagues in Taiwan reviewed outcomes for 33 children treated for retinal detachment after open globe injuries at a mean age of 11 years. Injuries included 21 cases of penetrations, six intraocular foreign bodies and six ruptures, according to the study.
Surgeons successfully reattached the retinas in 12 eyes.
Preoperatively, four eyes (12%) had best corrected visual acuity of 20/100 or better, which increased to 12 eyes (35%) after surgery.
Factors associated with a poor surgical outcome included either undetermined vision or only light perception preoperatively, diagnosing the retinal detachment by B-scan, the presence of grade C or worse proliferative vitreoretinopathy (PVR), total retinal detachment and macular-off status, according to the study.
"Early vitrectomy, before a diagnosis of retinal detachment is made by serial echographic examinations, may be considered to reduce the incidence of PVR. Further clinical research is required to identify ways to improve the outcomes for these patients," the authors said.
The study is published in the June issue of Ophthalmologica.