Aetiology and epidemiology of surgical vitreoretinal presentations in an Australian paediatric population: A seven-year retrospective study.

IF 4.9 2区 医学 Q1 OPHTHALMOLOGY Clinical and Experimental Ophthalmology Pub Date : 2024-11-01 Epub Date: 2024-06-27 DOI:10.1111/ceo.14413
Amelia Bai, Abhishek Sharma, Mark Chiang, Lawrence Lee
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Abstract

Background: Paediatric vitreoretinal pathology is distinct from adult cases in both presentation and surgical planning. Here we aim to report the aetiology and epidemiology in children 0-18 years requiring vitreoretinal surgery at a major tertiary paediatric hospital in Queensland, Australia.

Methods: Retrospective review of cases requiring vitreoretinal surgery between May 2015 and October 2022 was conducted. Demographics, ocular and medical history, surgical pathology, procedures performed, and epidemiology data were retrieved. Patients were grouped into three main aetiologies: traumatic, syndromic, or secondary.

Results: A total of 124 patients, the majority male (87, 70.2%) with a mean age of 10.3 years underwent vitreoretinal surgery. Trauma accounted for 32.3% of cases requiring surgery of which 47% were due to a penetrating eye injury. 35.5% were associated with a syndromic cause with common aetiology including coats, congenital cataract, sticklers, and retinopathy of prematurity. 32.3% developed secondary pathology and retinal detachment was the primary cause for surgery (55%). The average time from symptom onset to presentation was 30 days (SD 56.88) with patients living an average of 306.2 km (SD 558.9) away from the Queensland Children's Hospital. Older age was significantly associated with increased days to presentation in the traumatic group (p < 0.05).

Conclusions: This study provides an insight into the aetiology and epidemiology of paediatric vitreoretinal presentations in Queensland, Australia.

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澳大利亚儿科玻璃体视网膜手术病因和流行病学:一项为期七年的回顾性研究。
背景:小儿玻璃体视网膜病变在表现形式和手术计划上都与成人病例不同。在此,我们旨在报告澳大利亚昆士兰州一家大型三级儿科医院中需要进行玻璃体视网膜手术的 0-18 岁儿童的病因学和流行病学:方法:对2015年5月至2022年10月期间需要进行玻璃体视网膜手术的病例进行回顾性审查。方法:对2015年5月至2022年10月期间需要进行玻璃体视网膜手术的病例进行了回顾性审查,并检索了人口统计学、眼部病史和病史、手术病理学、已实施的手术以及流行病学数据。患者主要分为三种病因:外伤性、综合征或继发性:共有124名患者接受了玻璃体视网膜手术,其中大部分为男性(87人,70.2%),平均年龄为10.3岁。在需要进行手术的病例中,外伤占 32.3%,其中 47% 是由于穿透性眼外伤。35.5%的病例与综合病因有关,常见病因包括大衣、先天性白内障、粘连、早产儿视网膜病变等。32.3%的患者出现继发性病变,视网膜脱离是手术的主要原因(55%)。从症状出现到就诊的平均时间为 30 天(标准差 56.88),患者居住地距离昆士兰儿童医院平均 306.2 公里(标准差 558.9)。在创伤组中,年龄越大,发病天数越多(P本研究有助于深入了解澳大利亚昆士兰州儿童玻璃体视网膜病例的病因学和流行病学。
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来源期刊
CiteScore
7.60
自引率
12.50%
发文量
150
审稿时长
4-8 weeks
期刊介绍: Clinical & Experimental Ophthalmology is the official journal of The Royal Australian and New Zealand College of Ophthalmologists. The journal publishes peer-reviewed original research and reviews dealing with all aspects of clinical practice and research which are international in scope and application. CEO recognises the importance of collaborative research and welcomes papers that have a direct influence on ophthalmic practice but are not unique to ophthalmology.
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