Pediatric Traumatic Retinal Detachments: Clinical Characteristics and Outcomes

Abstract

BACKGROUND AND OBJECTIVE: To compare clinical characteristics and surgical outcomes of retinal detachment (RD) after open globe injuries (OGIs) and closed globe injuries (CGIs). PATIENTS AND METHODS: One hundred ten eyes of 110 patients aged 17 years or younger who underwent primary RD repair after OGI and CGI between 2010 and 2013 were reviewed retrospectively. RESULTS: Cataract (59.8% vs. 21.7%; P =.002) and vitreous hemorrhage (54% vs. 13%; P <.001) were significantly higher in OGIs than CGIs. Anatomical success rates were 75.9% in OGI and 82.6% in CGI (P =.586). Final visual acuity of 20/200 or greater was obtained in 23% of OGIs and 47.8% of CGIs (P =.035). Advanced proliferative vitreoretinopathy was associated with poor anatomical and visual outcome in both OGIs and CGIs. In OGIs, macular detachment was associated with poor visual outcome, and in CGIs, vitrectomy and macular detachment were associated with poor visual outcome. CONCLUSION: Visual outcomes were not compatible with anatomical success in both groups. Advanced PVR seems to be the most prominent factor that influences the anatomical and functional success rates in both OGI and CGI.