Pediatric retinal detachments (RDs) are uncommon, comprising only 10% of all detachments. The etiology of pediatric RDs can be developmental, congenital, inflammatory, vascular, infectious, or traumatic in origin. Most juvenile RDs are secondary to trauma. They are frequently diagnosed late, due to a young child’s inability to describe the ocular symptoms. Poor vision in the affected eye is not noted until the fellow normal eye is occluded, usually during a vision screening test at school. This review outlines the incidence and demographics, etiologic factors, and management of RDs in children. This part describes pediatric RDs associated with developmental and congenital conditions. Part II will discuss the vascular, infectious, inflammatory, and traumatic etiologies.
Dr. Bhagat is from the Institute of Ophthalmology and Visual Science, New Jersey Medical School, Newark, New Jersey.
Originally submitted November 4, 2005.
Accepted for publication July 12, 2006.
Address correspondence to Neelakshi Bhagat, MD; Doctors Office Center; Suite 6168; 90 Bergen Street; Newark, NJ 07103.
Supported in part by an unrestricted grant from Research to Prevent Blindness Inc., the Lions Eye Research Foundation of New Jersey, and the Eye Institute of New Jersey.