Dr. RAMESH VENKATESH

DR. ROHINI SANGORAM, Dr. RAMESH VENKATESH, Dr.VISHMA PRABHU GUMBIRA, DR. NARESH KUMAR YADAV

Abstract

Title: Lincoff rule is not followed in pediatric rhegmatogenous retinal detachment.

Aim: To validate Lincoff rule (LRs) in cases of pediatric RRD and identify cases where LR is not followed.

Methods: This was a retrospective study where 42 eyes of RRD were identified through surgery records. 37 eyes with pre operative documented Optos®️ images and with complete record of ocular examination and surgical findings were analysed. Validity of LR was analysed about location of retinal break by 2 independent observers.

Results: 37 eyes of 35 patients with a mean age of 11.23 years were analysed. 23 patients were boys. The location of retinal break as per the surgery noted corresponded to the LR in only 14 (38%) eyes. Absence of PVD was noted in 95% cases.

Conclusion: Though, LR is valid in most adult eyes with RRD, it has poor application in pediatric RRD. Absent PVD with unusual subretinal fluid flow is the most likely reason.

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