ABSTRACT
PurposeTo report the incidence rate, management, and surgical outcomes of rhegmatogenous retinal detachment (RRD) in children who underwent pars plana vitrectomy (PPV) with sutured scleral-fixated intraocular lens implantation (SSFIOL).Patients and methodsOf the 279 eyes of 230 children who underwent PPV with SSFIOL at a tertiary eye care centre, 16 eyes of 15 children developed RRD. Retrospective analysis of the surgical details of RRD, the structural and functional outcomes was done.ResultsOf the 279 eyes of 230 children who underwent PPV with SSFIOL, RRD was seen in 5.7% of the eyes. Average age was 10.7 years (range 4-15 years). Indication for SSFIOL implantation was congenital subluxation of lens (8 eyes) and traumatic aphakia or lens subluxation (4 eyes each). PPV was done in 15 of the 16 eyes, and 1 patient underwent scleral buckling. Retina was attached at the last follow-up visit in 87.5% of the eyes with median number of surgeries being 1. BCVA at the time of retinal detachment, multiple surgeries, and PVR at presentation were associated with poor visual outcome.ConclusionSurgery for SSFIOL in our series of paediatric eyes was complicated by vision-threatening RRD in 5.7% of cases. Surgical outcome in eyes with RRD without PVR was better (100%) than that in those, where PVR had already set in (75%). Need for regular follow-up and self-monitoring of vision should be emphasized and discussed with the parents before surgical intervention.
Subject(s)
Lens Implantation, Intraocular/adverse effects , Postoperative Complications/etiology , Retinal Detachment/etiology , Vitrectomy/adverse effects , Adolescent , Child , Child, Preschool , Female , Humans , Lens Implantation, Intraocular/methods , Lenses, Intraocular , Male , Postoperative Complications/surgery , Retinal Detachment/surgery , Retrospective Studies , Sclera/surgery , Suture Techniques , Visual Acuity , Vitrectomy/methodsABSTRACT
A 14 month old child with intractable painless otorrhoea resistant to conventional treatment with sadden onset facial palsy was referred to us for HRCT of temporal bone. A rare diagnosis of tuberculous mastoiditis was made which was confirmed by histopathological reports. In this case the use of a Multislice CT scanner (Siemens Volume Zoom) in demonstrating the intricate involvement of the middle and inner ear structures by the disease is accentuated.
