RHEGMATOGENOUS RETINAL DETACHMENT IN A CHILD WITH SLIT LAMP VISUALIZATION OF THE RETINA: ABOUT A CASE
Published 2022 - 26th ESCRS Winter Meeting
Reference: P224 | Type: Abstracts | DOI: 10.82333/66tp-5n39
Authors: Nihal El Arari* 1 , Rim HACHIMI 1 , Ibrahim Boumehdi 1 , Abdellah AMAZOUZI 1 , Lalla Ouafae CHERKAOUI 1
1Ophtalmology,HSR,Rabat,Morocco
Purpose
Childhood retinal detachments constitute 5 to 12% of all retinal detachments, and the rhegmatogenous cause isn't common in this age group compared to adults. The purpose of our case report is to shed light on this rare etiology in children and to show a particular case where the diagnosis was made just by examining with the slit lamp.
Setting
Our case is that of a 10-year-old child with no particular history, who presented to the emergency room four days after a sudden drop in visual acuity of the left eye without any notion of trauma. The admission examination found a visual acuity with negative light perception and an acuity of 10/10 of the right eye.
The slit lamp examination showed an anterior segment without abnormality with visualization of the retina and its vessels at the level of the anterior vitreous almost against the iris. A giant temporal tear was also observed.
The examination of the contralateral eye was without abnormality
Methods
An ultrasound supplement was performed objectifying a total retinal detachment with slightly thickened retina.
Results
The child has been scheduled for emergency surgery.The visual acuity in immediate post-op has improved to low light perception
Conclusion
Traumatism is the main cause of children retinal detachment. However the rhegmatogenic etiology should be raised , and requires the search for retinal dehiscences of the adelphe eye.
The diagnosis is usually made at the fundus examination of the eye, but in rare cases like our patient's, the retina can be visualized with the slit lamp when the retina detaches significantly.