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Risk factors and prognosis of pediatric rhegmatogenous retinal detachment in Egypt:a university hospital based study

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International Journal of Ophthalmology(English edition) 2023年第12期16卷 2034-2040页

作者： Mohamed Gaber Eissa Mohamad Amr Salah Eddin Abdelhakim Tamer Ahmed Macky Hassan Aly Mortada Department of Ophthalmology Kasr Al Ainy HospitalFaculty of MedicineCairo UniversityCairo 11431Egypt

AIM:To study and compare the predisposing factors and clinical features of pediatric,adult,and elderly rhegmatogenous retinal detachment(RRD).METHODS:This is an observational analytic crosssectional study in which patients with RRD admitted for surgery during 6mo period were divided into 3 age groups:pediatric(60y).Patients’demographic data,clinical features,RRD predisposing factors/features including myopia(axial length≥26.5 mm),aphakia/pseudophakia,blunt trauma,peripheral retinal degenerations,history of RRD in the fellow eye,and surgical interventions/findings were recorded and ***:Totally 142 patients(142 eyes)were studied:26(18.31%)pediatrics,86(60.56%)adults,and 30(21.13%)*** patients had a significantly higher intraocular pressures and cataracts compared to the other 2 groups(P=0.04).The RRD extent was larger in pediatric group(mostly 4 quadrants)compared to adults and elderly(mostly 2 quadrants),but it was not statistically insignificant(P=0.242).There were not statistically significantly differences in proliferative vitreoretinopathy(PVR)rate,posterior vitreous detachment(PVD)rate,number,site,shape,and size of breaks in three *** three groups had macular detachment in all *** and peripheral retinal degenerations were found to be more significant in adults(P=0.049,P=0.035,respectively),while blunt trauma was higher but insignificant in pediatric eyes(P=0.052).Pars plana vitrectomy(PPV)with silicone oil as a tamponade was the most used surgery in all ***:There are no significant difference in PVR rate in pediatric eyes but a significant higher rate of total *** trauma is more frequent in pediatrics eyes while myopia and/or peripheral retinal degenerations are more frequent in older *** rate of PPV as a choice for surgery is similar among all age groups.

关键词： rhegmatogenous retinal detachment pediatric predisposing factors proliferative vitreoretinopathy peripheral retinal degenerations

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