Abstract
The analysis of the influence of predictors on the probability of retinal detachment in children of the Minsk region was carried out on the basis of a study of the medical records of 660 children's patients treated at the Health care Institutions "4th Children's City Clinical Hospital" and “Minsk Regional Children's Clinical Hospital” for the period 2009–2019. Of these, 313 patients were older than 1 year with an established diagnosis of retinal detachment, 107 children under the age of 1 year, 240 children older than 1 year without retinal detachment at the time of treatment and the presence of predictors of its development (comparison group). To assess the influence of factors, a methodology based on the calculation of the odds ratio was used. The most significant risk factors were assigned a score equivalent from one to four, which allowed quantifying the probability of retinal detachment and identifying risk groups depending on the total score. The use of the proposed method allowed the children of the comparison group to identify changes in the vitreoretinal interface, which required primary laser preventive treatment in 46.7% of cases (113 eyes) during the three-year follow-up period, in 45.4% of children (109 eyes) it was limited only to dynamic observation without treatment. In 95.0% of children in the comparison group, it was possible to prevent the development of retinal detachment.
Highlights
The author declares no conflict of interests
The use of the proposed method allowed the children of the comparison group to identify changes in the vitreoretinal interface, which required primary laser preventive treatment in 46.7% of cases (113 eyes) during the three-year follow-up period, in 45.4% of children (109 eyes) it was limited only to dynamic observation without treatment
Determination of the influence of predictors and the probability of retinal detachment in children based on the analysis of the odds ratio
Summary
The author declares no conflict of interests. Сложность раннего выявления отслойки сетчатки (ОС) у детей и своевременного начала лечения заключается в полиморфизме факторов риска, «маскарадном» течении детской офтальмологической патологии, манифестации в разные возрастные периоды врожденной патологии, длительном периоде бессимптомного течения заболевания, трудности формулировки детьми своих жалоб и оценки серьезности ухудшений зрительных функций [1,2,3]. Эти факты делают необходимой и обоснованной разработку новых методов суммарной количественной оценки выявленных факторов, влияющих на вероятность возникновения отслойки сетчатки у детей и маршрутизации пациентов [2, 4, 5].
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