Netzhautablösung bei Kindern und Jugendlichen

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Abstract
During a 4-yr period 22 eyes with rhegmatogenous retinal detachment in children and young adults up to 20 yr of age were operated on. This group comprised 6.3% of all rhegmatogenous retinal detachments operated on during the same period. In 9 eyes (40.9%) the detachment was due to a direct ocular trauma. In the remaining cases the main etiological factors were: myopia with or without lattice degeneration (5 eyes), retinopathy of prematurity (2 eyes), hereditary vitreoretinal degeneration (1 eye), uveal coloboma (2 eyes), aphakia after congenital cataract (1 eye), sex-lined juvenile retinoschisis (1 eye) and central retinal vein occlusion (1 eye). Conventional surgical procedures using episcleral or intrascleral implants or an encircling band combined with cryotherapy were used. After a follow-up of 7 mo. to 3.3 yr (mean 1.5 yr) the retina was flat in 18 cases (82%) and still detached in those with uveal coloboma (2 eyes), hereditary vitreoretinal degeneration (1 eye), and central retinal vein occlusion (1 eye). All traumatic detachments were flat.

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