7/1/2023 0 Comments Partially torn retina![]() ![]() One commenter mentions adding 0.01% atropine, which has shown an additive effect for myopia control with orthokeratology, although this may be more in children with lower (less than 3D) than moderate myopia. 6ĭoes this patient need additional myopia control intervention? The case indicates that partial correction orthokeratology has provided effective myopia control over the past 2.5 years. 5,6Īttempting to control myopia as much as possible is important to reduce the continued axial growth of the patient's eyes - the mechanical impact of stretching is likely responsible for the stronger link between axial length and ocular health risk in myopia than between myopic refractive error and risk. As KG mentions in the original post, eyes with an axial length exceeding 26mm have an 82% frequency of retinal changes attributed to myopia, and at least a 25% cumulative risk of vision impairment across their lifetime. ![]() This particular child has an axial length of 26.6mm and 26.3mm in his right and left eyes respectively. 4 In addition, late diagnosis and macular involvement also affect the outcome. Rhegmatogenous retinal detachments have better visual outcome whereas tractional retinal detachments have poorer visual outcome. The prognosis varies with different type of PRDs. Rhegmatogenous retinal detachments (22%, causes include myopia, X-linked retinoschisis or Stickler’s syndrome).Tractional retinal detachments (29%, causes include retinopathy of prematurity, persistent fetal vasculature or familial exudative vitreoretinopathy).3 The most common types of PRDs include: 4 The average age of onset of PRD is usually between 9-12 years old. As a result, they may not raise the alarm that something in their vision has changed. An associated condition (Morbus Stickler, Marfan Syndrome, Coat disease etc)Įarly diagnosis can be difficult as children may not necessarily recognize or appreciate the symptoms such as a sudden increase in floaters, flashes of light, or changes in their field of vision.It accounts for 3%-7% of all retinal detachment cases. ![]() Paediatric retinal detachment (PRD) is rare and challenging. ![]()
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