Surgical outcomes of pediatric rhegmatogenous retinal detachment with subretinal proliferation

Objective To observe therapeutic effects of the scleral buckling and vitrectomy in juvenile retinal detachment caused by congenital abnormalities. Methods 48 patients 56 eyes were diagnosed as rhegmatogenous retinal detachment caused by congenital causes in Southwest Eye Hospital from July of 2007 to January of 2010. All have had scleral buckling or vitrectomy respectively. Results The follow-up time was 6 months or further. Thirty-three eyes had scleral buckling: the retina of 20 eyes had been once reattached, 7 eyes had rudimental subretinal fluid, the retinal of 6 eyes hadn't been reattached. Twenty-three eyes had vitrectomy with silicone oil taken out after 3 to 7 months, the follow-up time was 6 months or further, the retina of 14 eyes had been once reattached, the retina of 6 eyes had been reattached again. 3 eyes still had retinal detachment. As to the near therapeutic effects, the reattached rate and visual outcomes of two surgical methods had no statistical disparity (P>0.05).Conclusions The first surgical choice of juvenile retinal detachment with mild to moderate proliferation caused by congenital abnormalities was scleral bucking. Vitrectomy should be considered if the retina hadn't been reattached, but the further therapeutic effects should be observed. Key words: juvenile retinal detachment;  congenital abnormalities;  scleral buckling; vitrectomy