Vitreous Hemorrhage in Pediatric Age Group

Purpose. To identify and study causes of vitreous hemorrhage (VH) in pediatric age group and to investigate factors predicting visual and anatomical outcomes. Procedure. A retrospective review of patients aged 16 years or less with the diagnosis of vitreous hemorrhage from January 2005 until Decembe...

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Main Authors: Dora H. AlHarkan, Eman S. Kahtani, Priscilla W. Gikandi, Ahmed M. Abu El-Asrar
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2014/497083
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author Dora H. AlHarkan
Eman S. Kahtani
Priscilla W. Gikandi
Ahmed M. Abu El-Asrar
author_facet Dora H. AlHarkan
Eman S. Kahtani
Priscilla W. Gikandi
Ahmed M. Abu El-Asrar
author_sort Dora H. AlHarkan
collection DOAJ
description Purpose. To identify and study causes of vitreous hemorrhage (VH) in pediatric age group and to investigate factors predicting visual and anatomical outcomes. Procedure. A retrospective review of patients aged 16 years or less with the diagnosis of vitreous hemorrhage from January 2005 until December 2010. Results. A total number of 230 patients (240 eyes) were identified. Traumatic vitreous hemorrhage accounted for 82.5%. In cases of accidental trauma, final visual acuity of 20/200 was significantly associated with visual acuity of ≥20/200 at presentation and the absence of retinal detachment at last follow-up. Patients with nontraumatic vitreous hemorrhage were significantly younger with higher rates of enucleation/evisceration/exenteration and retinal detachment at last follow-up compared to traumatic cases. Conclusion. Trauma is the most common cause of VH in pediatric age group. In this group, initial visual acuity was the most important predictor for visual outcome, and the presence of retinal detachment is a negative predictor for final good visual outcome. The outcome is significantly worse in nontraumatic cases compared to traumatic cases.
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spelling doaj-art-330d7945939e4ab9aefb38b8a45713cb2025-08-20T03:55:17ZengWileyJournal of Ophthalmology2090-004X2090-00582014-01-01201410.1155/2014/497083497083Vitreous Hemorrhage in Pediatric Age GroupDora H. AlHarkan0Eman S. Kahtani1Priscilla W. Gikandi2Ahmed M. Abu El-Asrar3Division of Pediatric Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, Saudi ArabiaVitreoretinal Division, King Khaled Eye Specialist Hospital, P.O. Box 7191, Riyadh 11462, Saudi ArabiaDepartment of Ophthalmology, King Abdulaziz University Hospital, Old Airport Road, P.O. Box 245, Riyadh 11411, Saudi ArabiaDepartment of Ophthalmology, King Abdulaziz University Hospital, Old Airport Road, P.O. Box 245, Riyadh 11411, Saudi ArabiaPurpose. To identify and study causes of vitreous hemorrhage (VH) in pediatric age group and to investigate factors predicting visual and anatomical outcomes. Procedure. A retrospective review of patients aged 16 years or less with the diagnosis of vitreous hemorrhage from January 2005 until December 2010. Results. A total number of 230 patients (240 eyes) were identified. Traumatic vitreous hemorrhage accounted for 82.5%. In cases of accidental trauma, final visual acuity of 20/200 was significantly associated with visual acuity of ≥20/200 at presentation and the absence of retinal detachment at last follow-up. Patients with nontraumatic vitreous hemorrhage were significantly younger with higher rates of enucleation/evisceration/exenteration and retinal detachment at last follow-up compared to traumatic cases. Conclusion. Trauma is the most common cause of VH in pediatric age group. In this group, initial visual acuity was the most important predictor for visual outcome, and the presence of retinal detachment is a negative predictor for final good visual outcome. The outcome is significantly worse in nontraumatic cases compared to traumatic cases.http://dx.doi.org/10.1155/2014/497083
spellingShingle Dora H. AlHarkan
Eman S. Kahtani
Priscilla W. Gikandi
Ahmed M. Abu El-Asrar
Vitreous Hemorrhage in Pediatric Age Group
Journal of Ophthalmology
title Vitreous Hemorrhage in Pediatric Age Group
title_full Vitreous Hemorrhage in Pediatric Age Group
title_fullStr Vitreous Hemorrhage in Pediatric Age Group
title_full_unstemmed Vitreous Hemorrhage in Pediatric Age Group
title_short Vitreous Hemorrhage in Pediatric Age Group
title_sort vitreous hemorrhage in pediatric age group
url http://dx.doi.org/10.1155/2014/497083
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AT emanskahtani vitreoushemorrhageinpediatricagegroup
AT priscillawgikandi vitreoushemorrhageinpediatricagegroup
AT ahmedmabuelasrar vitreoushemorrhageinpediatricagegroup