{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T13:32:27Z","timestamp":1778679147424,"version":"3.51.4"},"reference-count":12,"publisher":"Czech Society of Ophthalmology of the CzMA","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cesk Slov Oftalmol"],"published-print":{"date-parts":[[2025,2,21]]},"abstract":"<jats:p>Aims: To retrospectively evaluate the anatomical and functional success of surgical treatment for rhegmatogenous retinal detachment (RRD) in pediatric patients aged 18 years and younger.\nMaterial and methods: The study includes 14 eyes of 14 patients, 9 (64%) of whom were males, with an average age of 12 years. All patients underwent surgery for rhegmatogenous retinal detachment (RRD) performed by a\u00a0single surgeon at the Department of Ophthalmology, University Hospital Brno, and Masaryk University, from July 1, 2019, to June 30, 2024. The surgical techniques used included cryosurgery and 25G+ pars plana vitrectomy (PPV). In 3 patients a\u00a025G+ PPV was combined with pre-equatorial scleral buckling. A\u00a0history of blunt ocular trauma was permissible. The cause of RRD was retinal tear(s), regardless of their number or location. The transparency of the anterior segment enabled reliable visualization of the posterior segment. Preoperative proliferative vitreoretinopathy (PVR) grades A-D2 were acceptable. Patients with a\u00a0history of penetrating ocular trauma were excluded. Anatomical success was defined as complete retinal reattachment. Each patient\u2019s\u00a0final visual acuity (VA) was assessed using a\u00a0Snellen chart. Numerical outcomes were expressed as arithmetic means and percentages. Since no comparative analysis was conducted between different groups, statistical tests were not required.\nResults: In 13 patients (93%), complete retinal reattachment was achieved. In 1 patient (7%), the retina became detached again after silicone oil removal, with rapid progression of PVR, leading to anatomical treatment failure due to inoperability. A\u00a0total of 11 patients (78%) achieved visual acuity (VA) of \u2265 4\/40.\nConclusion: We consider cryosurgical techniques utilizing episclerally fixed encircling bands and buckles, 25G+ PPV, and potentially a\u00a0combination thereof as appropriate methods for managing RRD in children.<\/jats:p>","DOI":"10.31348\/2025\/14","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T15:23:10Z","timestamp":1760541790000},"page":"234","source":"Crossref","is-referenced-by-count":0,"title":["Rhegmatogenn\u00ed odchl\u00edpen\u00ed s\u00edtnice v d\u011btsk\u00e9m v\u011bku"],"prefix":"10.31348","volume":"81","author":[{"given":"Old\u0159ich","family":"Chrapek","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mark\u00e9ta","family":"\u0160ur\u00e1\u0148ov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronika","family":"Chovancov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krist\u00edna","family":"Si\u010dov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michal","family":"B\u0159ez\u00edk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"Vyslou\u017eilov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronika","family":"Matu\u0161kov\u00e1","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16213","published-online":{"date-parts":[[2025,2,21]]},"reference":[{"key":"ref0","unstructured":"Daniel R, Kanski J, Glasspool M. Retinal detachment in children. Trans Ophthalmol Soc OK. 1974;94 325-334."},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Winslow RL, Tasman W. Juvenile rhegmatogenous retinal detachment. Ophthalmology. 1978;85:607-618. DOI: 10.1016\/s0161-6420(78)35641-4","DOI":"10.1016\/S0161-6420(78)35641-4"},{"key":"ref2","unstructured":"Chen YS, Dumas J. The etiology of juvenilie retinal detachment. Can J Ophthalmol. 1972;7:136-140."},{"key":"ref3","unstructured":"Hilton G, Norton W. Juvenile Retinal Detachment. MoProbl Ophthalmol 1968;8:325-341."},{"key":"ref4","unstructured":"Hudson JR. Retinal detachment in children. Trans Ophthalmol Soc UK. 1965;85:79-91."},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Lee RWJ, Mayer EJ, Markham RH. The etiology of paediatric rhegmatogenous retinal detachment: 15 years experience. Eye. 2008;22 636-640. DOI: 10.1038\/sj.eye.6702724","DOI":"10.1038\/sj.eye.6702724"},{"key":"ref6","unstructured":"Schepens CL.Progress in detachement surgery. Trans Am Acad Ophthalmol Otolaryngol 1951; 55:607\u2013615."},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Schepens CL, Okanuta ID, Brockhurst RJ. Thescleral buckling procedures. I. Surgical techniques and management.AMA Arch Ophthalmol. 1957;58:797-811. DOI: 10.1001\/archopht.1957.00940010819003","DOI":"10.1001\/archopht.1957.00940010819003"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Machemer R, Parel JM, Buettner H. A new koncept for vitreous surgery. I. Instrumentation. Am J Ophthalmol. 1972;73:1-7. DOI: 10.1016\/0002-9394(72)90295-4","DOI":"10.1016\/0002-9394(72)90295-4"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Chrapek O, Matu\u0161kov\u00e1 V, Vyslou\u017eilov\u00e1 D, Sou\u010dek J, Si\u010dov\u00e1 K, B\u0159ez\u00edk M. Surgical Treatment of Rhegmatogenous Retinal Detachment in the Only Seeing Eye. Cesk Slov Oftalmol. 2025;81:26-30. doi: 10.31348\/2024\/38 DOI: 10.31348\/2024\/38","DOI":"10.31348\/2024\/38"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Smith JM, Laura TW, Townsend JH, et al. Rhegmatogenous retinal detachment in children. Ophthalmolog.y 2019;126 1263-1270. DOI: 10.1016\/j.ophtha.2018.11.001","DOI":"10.1016\/j.ophtha.2018.11.001"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Al-Zaaidi S., Al-Rashaed S., Al-Harthi E., Al-Kahtani E., El-Asrar A. Rhegmatogenous retinal detachment in children 16 years of age or younger. Clin Ophthalmol. 2013;7:1001-1014. DOI: 10.2147\/opth.s40056","DOI":"10.2147\/OPTH.S40056"}],"container-title":["Czech and Slovak Ophthalmology"],"original-title":[],"deposited":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T12:50:25Z","timestamp":1778676625000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cs-ophthalmology.cz\/cs\/journal\/articles\/360"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,21]]},"references-count":12,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2025,10,1]]},"published-print":{"date-parts":[[2025,10,1]]}},"URL":"https:\/\/doi.org\/10.31348\/2025\/14","relation":{},"ISSN":["1211-9059","1805-4447"],"issn-type":[{"value":"1211-9059","type":"print"},{"value":"1805-4447","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,21]]}}}