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Key Features

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  • A retinal detachment may present as an abnormal or absent red reflex

  • Older children may complain of decreased vision, flashes, floaters, or visual field defects

  • Common causes are trauma and high myopia

  • Other causes are retinopathy of prematurity, Marfan syndrome, and Stickler syndrome

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Clinical Findings

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  • Symptoms of detachment are floaters, flashing lights, and loss of visual field

  • However, children often cannot appreciate or verbalize their symptoms

  • A detachment may not be discovered until the child is referred after failing a vision screening examination, strabismus supervenes, or leukocoria is noted

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Diagnosis

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  • For children with conditions predisposing to retinal detachment, or a strong family history, examinations under anesthesia by an ophthalmologist, with prophylactic laser treatment, may be recommended

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Treatment

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  • Surgery

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