Affiliation:
1. Minsk Regional Children's Clinical Hospital
Abstract
The analysis of the influence of predictors on the probability of retinal detachment in children of the Minsk region was carried out on the basis of a study of the medical records of 660 children's patients treated at the Health care Institutions "4th Children's City Clinical Hospital" and “Minsk Regional Children's Clinical Hospital” for the period 2009–2019. Of these, 313 patients were older than 1 year with an established diagnosis of retinal detachment, 107 children under the age of 1 year, 240 children older than 1 year without retinal detachment at the time of treatment and the presence of predictors of its development (comparison group). To assess the influence of factors, a methodology based on the calculation of the odds ratio was used. The most significant risk factors were assigned a score equivalent from one to four, which allowed quantifying the probability of retinal detachment and identifying risk groups depending on the total score. The use of the proposed method allowed the children of the comparison group to identify changes in the vitreoretinal interface, which required primary laser preventive treatment in 46.7% of cases (113 eyes) during the three-year follow-up period, in 45.4% of children (109 eyes) it was limited only to dynamic observation without treatment. In 95.0% of children in the comparison group, it was possible to prevent the development of retinal detachment.
Publisher
Belarusian State University of Informatics and Radioelectronics
Reference5 articles.
1. Wang N.K, Chen Y.P, Lai C.C, Chen T.L, Yang K.J, Kuo Y.H, Chao A.N, Wu W.C, Chen K.J, Hwang Y.S, Yeung L., Liu L. Pаediatric retinal detachment: comparison of high myopia and extreme myopia. Br J. Ophthalmol. 2009;93(5):650–655.
2. Meier P. Retinal detachment in children: differential diagnosis and current therapy. KlinMonblAugenheilkd. 2008;225(9):779–790.
3. Lavinsky D., Sramek C., Wang J. Subvisible retinal laser therapy: titration algorithm and tissue response. Retina. 2013;34(1):87–97.
4. Chen S.-N., Lian I., Hwang Y.-Ch., Chen Y.-H. Intravitreal anti-vascular endothelial growth factor treatment for retinopathy of prematurity: comparison between Ranibizumab and Bevacizumab. Retina. 2015;35(4):667-674.
5. Nuzzi R., Lavia C., Spinetta R., Nuzzi R. Paediatric retinal detachment: a review. Int J. Ophthalmol. 2017 Oct 18;10(10):1592-1603. doi: 10.18240/ijo.2017.10.18. eCollection 2017. Int J Ophthalmol. 2017. PMID: 29062781 Free PMC article. Review.