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CR Gonzales, AE Kreiger; Follow-up of the Fellow Eye in Patients with Rhegmatogenous Retinal Detachment without Posterior Vitreous Detachment . Invest. Ophthalmol. Vis. Sci. 2002;43(13):656.
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Purpose: To determine the frequency with which patients with rhegmatogenous retinal detachment not related to posterior vitreous detachment suffer vision-threatening events in the fellow eye. Methods: A retrospective chart review of twenty-seven patients with primary phakic rhegmatogenous retinal detachment without posterior vitreous detachment was performed. The primary anatomic endpoint was the detection of vision-threatening events in the fellow eyes of these patients. Results: Twenty-seven patients were studied. The follow-up interval was between 9 and 326 months (mean = 111). 11/27 patients (41%) experienced a vision-threatening event in the fellow eye including 6 retinal detachments, 5 retinal tears, 2 posterior vitreous detachments, and one cataract. Conclusions: Prior studies have documented the natural history of the fellow eye in patients with rhegmatogenous retinal detachment. The subset of patients without posterior vitreous detachment, however, has not previously been studied. The current study demonstrates that these patients are at a high risk for developing vision-threatening events in the contralateral eye, and as such, they should be followed closely.
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