[Long-term results of pars plana vitrectomy and silicone oil in large retinal tears in children]. / Dlouhodobé výsledky pars plana vitrektomie a silikonového oleje u obrovských trhlin sítnice detského veku.
Cesk Slov Oftalmol
; 53(3): 147-54, 1997 Jun.
Article
en Cs
| MEDLINE
| ID: mdl-9296868
Pars plana vitrectomy (PPV) with implantation of silicone oil (ISO) was performed giant tears (GT) in 24 eyes of 22 children aged 6-15 years. In 15 eyes of 13 children idiopathic GT were involved (71%), in 9 eyes (29%) the GT was preceded by an injury-contusion in 5 eyes and a perforating injury in 4 eyes. The patients were followed up for 24-132 months after operation, on average for 55 months. The final anatomical success with an attached macula and functional success with a visual acuity of 0.02 or better were achieved in 18 eyes (75%). The results did not depend on the size of the GT and were better in post-traumatic than in idiopathic GT. The success of the operation declined from 82% after two years and 79% after 3 years to 45% after 5 and more years. The silicone oil was removed in 13 years (46%). Of those in 4 eyes (31%) the detachment relapsed and in two eyes (15%) the relapse was the cause of the final failure. PPV with ISO was a very effective operation in GT. Proliferative vitreoretinopathy was the main cause of surgical failures and a frequent obstacle for removal of silicone oil from the eye. Dispensarization, prophylactic cryopexy and early diagnosis of GT are the main prerequisites of a better prognosis and results in GT in children.
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Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Perforaciones de la Retina
/
Vitrectomía
/
Aceites de Silicona
Tipo de estudio:
Observational_studies
/
Prognostic_studies
/
Screening_studies
Límite:
Adolescent
/
Child
/
Female
/
Humans
/
Male
Idioma:
Cs
Revista:
Cesk Slov Oftalmol
Asunto de la revista:
OFTALMOLOGIA
Año:
1997
Tipo del documento:
Article
Pais de publicación:
República Checa