(1)
St. Johns, FL, USA
(2)
Helen Keller Foundation for Research and Education, International Society of Ocular Trauma, Birmingham, AL, USA
(3)
Consultant and Vitreoretinal Surgeon, Milos Eye Hospital, Belgrade, Serbia
(4)
Consultant and Vitreoretinal Surgeon, Zagórskiego Eye Hospital, Cracow, Poland
The stereotype statement is true: A child is not a small adult. Tables 41.1 and 41.2 list a few important differences the VR surgeon should keep in mind when operating on a child1 vs on an adult patient.
Table 41.1
Age-dependent location of the sclerotomy
Age | Distance (mm) |
---|---|
<6 months | 1.5 |
7–12 months | 2 |
1–2 years | 2.5 |
2–6 years | 3 |
>6 years | 3.5 |
Table 41.2
The pediatric eye and the VR surgeon
Variable | Comment |
---|---|
Examination of both person and eyeball more difficult | Doubt history – try to find a witness in case of trauma |
Discard the white lab coat
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