Scleral buckling a good option for pediatric retinal detachment
NEW YORK — Scleral buckling may offer good outcomes for retinal detachment, but only 43.5% of children requiring surgery for retinal detachment receive it, according to a speaker.
“[Retinal detachment in children] is something that we may not see every single day but something that we’ve all encountered on a semiregular basis,” Yoshihiro Yonekawa, MD, FASRS, said at the American Society of Retina Specialists annual meeting. “It’s something that we don’t have too much good data on.”
Yonekawa and colleagues performed a multicenter cohort analysis of electronic health records for children aged 1 to 17 years from 71 U.S. private practice retina centers and identified 168,152 patients diagnosed with rhegmatogenous retinal detachment between January 2015 and August 2021. Comorbidities, visual acuity, treatment modalities and demographic data were analyzed.
Myopia (34.6%), ocular trauma (15%) and a history of prematurity (11.5%) were common associated comorbidities. Instances of retinal detachment increased with age.
Primary scleral buckling showed the best single surgery anatomic success (79%) compared with vitrectomy with scleral buckling (67.2%) and vitrectomy alone (64.5%). Primary scleral buckling resulted in mean visual acuity of 20/63 at 1 year, which was significantly better than primary vitrectomy (20/200) and vitrectomy with scleral buckling (20/200) (both P < .05).
“We need to be sure we continue to buckle and we continue to teach our fellows and trainees how to buckle,” Yonekawa said.
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Yonekawa Y, et al. A nationwide aggregated health records analysis of pediatric retinal detachment in the United States. Presented at: American Society of Retina Specialists annual meeting; July 13-16, 2022; New York.
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