Agarkar s et al. – In this study, the authors reported the occurrence retinal detachment (RD), along with identification of long-term risk factors and surgical outcomes in pediatric patients (aged <16 years) undergoing cataract surgery. In conclusion, children without ocular and systemic anomalies had an estimated 5.5% risk for RD within first 10 years of cataract surgery. Risk factors of RD included male gender, myopia, and intellectual disability.

Methods

• This retrospective consecutive case series was performed between 1996 and 2007 and 295 patients who underwent lensectomy, posterior capsulorhexis, and anterior vitrectomy combined primary intraocular in 481 eyes. Median follow-up was 66 months.
• Cumulative risk and hazard ratio (HR) for RD were estimated using Kaplan-Meier and Cox proportional hazard regression models. Age-adjusted axial length difference (ALD) was also calculated.

Results

• RD occurred in 12 eyes of 9 male patients within 70 months of cataract surgery.
• Overall RD risk of 5.5% was observed in 9 male patients during the 10 years.
• In intellectually disabled children, multi-adjusted HR was 12.42 (95% CI: 2.91-53.01; P = .001), which was 21.93 (95% CI: 2.95-162.80; P = .003) in children with ALD ≤1mm.
• The most common cause of RD (8 eyes) was the retinal break associated with induction of posterior vitreous detachment.
• Visual acuity ≥6/18 or 6/60 was seen in 5 and 9 eyes, respectively.