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May 1993

The Treatment of Pediatric Retinal Detachment

Arch Ophthalmol. 1993;111(5):599. doi:10.1001/archopht.1993.01090050033021

The rarity of patients with retinal detachments that develop during the early years of life is largely responsible for our lack of knowledge regarding these disorders. Even in retinopathy of prematurity (ROP), which is common in very small premature children, the precise pathogenesis continues to elude us. However, as examination and treatment skills improve in this disease, more young children are being evaluated and treated for retinal detachment due to other causes. In this issue of the Archives, Wald and associates1 report their experience with retinal detachments in patients with incontinentia pigmenti. They report limited success with a variety of procedures to halt and treat the detachments using similar methods and treatment rationales as used in ROP. The best treatment for such children remains a sea of unknowns and uncertainties. Because the results are suboptimal by any objective measure in this and nearly all retinal detachments occurring in the

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