European VitreoRetinal Society , Lisbon, Portugal, 27 - 30 June 2019, pp.1-2
Pediatric rhegmatogenous retinal detachments (RRD) differ in terms of characteristics at presentation, techniques in surgery, postoperative follow-up and success compared to adults. Often they present late with severe PVR, and vitrectomy is needed. In vitrectomy of these eyes, posterior hyaloid removal, peeling of all tractional membranes, and ILM peeling at least at the macular area, a thorough peripheric vitrectomy is important to prevent formation of PVR. In this video, 23g PPV in a pediatric case with Down Syndrome and high myopia, presented with only light perception and RRD with grade D PVR observed at routine ocular examination is demonstrated. Following silicone oil removal the visual acuity increased to 0.1 with good fixation of the patient. Considering a long lifespan in their future, no matter how difficult the surgery is in these young eyes with severe PVR, we can give it a try with the appropriate surgical techniques before deciding it inoperable, as there is still hope in eyes with light perception. Detailed and realistic information to the parents with informed consent is necessary.