Retinal Detachment in Down Syndrome: Characteristics and Surgical Outcomes

Table 2

Summary of the result.

Number of eyes	18
Mean age	11.3 years (range, 4 to 26 years)
Eye
Right	8
Left	10
Both	3
Lens status
Clear	2 (11.1%)
Cataractous	9 (50%)
Pseudophakia	4 (22.2%)
Aphakia	3 (16.6%)
Type of retinal breaks	8 eyes with HST	3 eyes with GRT	8 eyes with atrophic or operculated holes	1 eye with retinal dialysis	1 eye with unidentifiable break
Macula	All eyes with macula off detachment
Quadrant of retinal detachment	Total in 15 (83.3%) eyes	3 quadrants in 2 (11.1%) eyes	2 quadrants in one (5.5%) eye
PVR grade
Grade B	2 (11.1%)
Grade C	6 (33.3%)
Anterior	2
Posterior	1
Anterior and posterior	2
Undetermined	1
Surgery	SB in 6 (33.3%) eyes	PPV in 1 (5.5%) eye	PPV + SB in 11 (61.1%) eyes
PPL	In 5 (27.8%) eyes
First subsequent surgery	PPV in 3 (16.7%) eyes	PPV + SB in 1 (5.5%) eye	SO removal in 1 (5.5%) eyes	Phaco + PC IOL/SO removal in 1 (5.5%) eye
Second subsequent surgery	Secondary IOL and SO removal in 1 (5.5%) eye	SB removal and intravitreal AB in 1 (5.5%) eye
Buckle details	Band + tire in 5 (27.7%) eyes	Band in 12 (66.7%) eyes
Preoperative BCVA	From following light to counting fingers (median: following and fixation) (10/18 eyes)
Postoperative BCVA	From light perception to 20/125 (median: hand motion) (11/18 eyes)
Anatomical results	Flat in 88.8% (16 eyes)	Detached in 11.2% (2 eyes)
Follow-up	Ranged from 3.1 to 210.5 months (mean, 48.0 months)

HST: horseshoe tear; GRT: giant retinal tear; PPV: pars plana vitrectomy; SB: scleral buckle; PPL: pars plana lensectomy; PC IOL: posterior chamber intraocular lens; IOL: intraocular lens; AB: antibiotic; PVR: proliferative vitreoretinopathy.