دورية أكاديمية
أعرض في EDS

A COMPARATIVE ANALYSIS OF TRAUMATIC RETINAL DETACHMENT AFTER OPEN AND CLOSED GLOBE INJURIES IN CHILDREN.

التفاصيل البيبلوغرافية
العنوان: A COMPARATIVE ANALYSIS OF TRAUMATIC RETINAL DETACHMENT AFTER OPEN AND CLOSED GLOBE INJURIES IN CHILDREN.
المؤلفون: Wenzel DA; University Eye Hospital, Centre for Ophthalmology, University Hospital Tübingen, Tübingen, Germany., Gassel CJ, Druchkiv V, Neubauer J, Bartz-Schmidt KU, Dimopoulos S
المصدر: Retina (Philadelphia, Pa.) [Retina] 2024 Aug 01; Vol. 44 (8), pp. 1422-1430.
نوع المنشور: Journal Article; Comparative Study
اللغة: English
بيانات الدورية: Publisher: Lippincott Williams & Wilkins Country of Publication: United States NLM ID: 8309919 Publication Model: Print Cited Medium: Internet ISSN: 1539-2864 (Electronic) Linking ISSN: 0275004X NLM ISO Abbreviation: Retina Subsets: MEDLINE
أسماء مطبوعة: Publication: Hagerstown, MD : Lippincott Williams & Wilkins
Original Publication: Philadelphia : Lippincott, [1981?-
مواضيع طبية MeSH: Retinal Detachment*/surgery , Retinal Detachment*/etiology , Retinal Detachment*/diagnosis , Visual Acuity*/physiology , Eye Injuries, Penetrating*/surgery , Eye Injuries, Penetrating*/complications , Eye Injuries, Penetrating*/physiopathology , Eye Injuries, Penetrating*/diagnosis , Vitrectomy* , Wounds, Nonpenetrating*/complications , Wounds, Nonpenetrating*/diagnosis, Humans ; Child ; Retrospective Studies ; Male ; Female ; Adolescent ; Child, Preschool ; Eye Injuries/complications ; Eye Injuries/surgery ; Eye Injuries/diagnosis ; Eye Injuries/physiopathology ; Follow-Up Studies ; Prognosis
مستخلص: Purpose: Pediatric traumatic retinal detachment (RD) resulting from open globe injuries (OGIs) or closed globe injuries (CGIs) presents unique challenges due to complexity often resulting in lifelong sequelae. This study compares pediatric traumatic RD outcomes and prognostic factors following OGI and CGI.
Methods: A retrospective analysis reviewed 47 cases of pediatric traumatic RD in children (age <18 years), who underwent RD surgery between 2002 and 2021. Among them, 25 cases were caused by CGI and 22 cases by OGI. Demographics, RD characteristics, surgical procedures, and anatomical and functional results were assessed. Predictive factors for visual outcomes were investigated.
Results: In the CGI group, mean (±SD) age was 11 years ± 4 years, and 10 years ± 5 years in the OGI group. Closed globe injury traumatic RD had significantly better preoperative (CGI: logarithm of the minimum angle of resolution 1.39 ± 0.19 (mean ± standard error); OGI: logarithm of the minimum angle of resolution 2.12 ± 0.20) and follow-up (CGI: logarithm of the minimum angle of resolution 0.94 ± 0.19; OGI: logarithm of the minimum angle of resolution 1.85 ± 0.20) best-corrected visual acuity (BCVA) ( P < 0.05). Initial BCVA improvement was observed in CGI only. In multivariable analysis, prognostic factors for favorable BCVA outcomes included higher preoperative BCVA, older age, and absence of proliferative vitreoretinopathy ( P < 0.05).
Conclusion: Visual prognosis for pediatric traumatic RD remains limited, favoring CGI cases compared with OGI. Baseline BCVA emerged as a major determinant of final visual acuity. Tailored management approaches can optimize treatment results.
(Copyright © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Opthalmic Communications Society, Inc.)
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تواريخ الأحداث: Date Created: 20240403 Date Completed: 20240724 Latest Revision: 20240728
رمز التحديث: 20240728
مُعرف محوري في PubMed: PMC11280447
DOI: 10.1097/IAE.0000000000004120
PMID: 38569211
قاعدة البيانات: MEDLINE
الوصف
تدمد:1539-2864
DOI:10.1097/IAE.0000000000004120