September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016

Surgical outcomes, epidemiology, clinical characteristics, risk factors of rhegmatogenous retinal detachment
Author Affiliations & Notes
  • Feria ANZALDO Estephania
    RETINA, AOCIACION PARA EVITAR LA CEGUERA, MEXICO CITY, Mexico
  • IRVING SANTANDER CARRAL
    RETINA, AOCIACION PARA EVITAR LA CEGUERA, MEXICO CITY, Mexico
  • Footnotes
    Commercial Relationships   Feria Estephania, None; IRVING CARRAL, None
  • Footnotes
    Support  none
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 1046. doi:
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    • Get Citation

      Feria ANZALDO Estephania, IRVING SANTANDER CARRAL;
      Surgical outcomes, epidemiology, clinical characteristics, risk factors of rhegmatogenous retinal detachment. Invest. Ophthalmol. Vis. Sci. 2016;57(12):1046.

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      © ARVO (1962-2015); The Authors (2016-present)

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Abstract

Purpose : The objective of this study was to analyze the characteristics and surgical results of patients with rhegmatogenous retinal detachment (RRD).The medical records of 736 patients older than 10 years of age,who underwent vitroretinal surgery due to RRD were analyzed.The gender,age,laterality,duration of the presenting symptoms, etiology,risk factors,ocular and systemic co-morbidities,types and sites of breaks and, presence of proliferative vitreoretinophaty (PVR),macular involvement,tonometry,initial BCVA,surgical management and complications at day one and at 1,6 and 12 months after the surgery were noted.

Methods : Retrospective,consecutive collation of patients older than 10 years age who underwent surgeries for RRD between August 2010 and December 2013,with a follow up of one year,recording demographics,retinal detachment features,choice of management,complications and surgical success.

Results : The most common risk factors were high myopia 59% and hypertension 25.7% respectively.The mean age was 50.6years with a SD 17.6years.There were 56%male and 44%female subjects.The most common etiologic factors were trauma 7.6% and cataract surgery 16.2%.The most common presenting signs were blurred vision 92%,floaters 40.2%,flashes 38.6%, loss of visual field 35.9%- Four percent reported having positive family history of RRD 4%.The most frequent eye involved was the left eye 51%.The average time between the onset of the syntoms and admision were 34%(range 2 weeks to one month).The most frequent initial BCVA, was logMAR -2.7(HM Snellen) 22.5% and logMAR -1.4(CF Snellen) 22.2%.Macular involvement was observed in 84% of the subjects.Proliferative vitreoretinophaty (PVR) was found 38%.Retinal tears were the most common predisposing lesion found 46%.There were 469 surgical procedures,including retinopexy and vitrectomy 44.6%.The most frequent complications after vitreoretinal surgery were: in the first 24 hours, high intraocular pressure 8.7%, after 1 month recurrent retinal detachment 15.7%,after 6 months posterior subcapsular opacity 1.7% and cataract lens 1.3% after 1 year.

Conclusions : The most frequent presenting sign of reghmatogenous retina detachment was blurred vision 92%,this correlates with 84% of macular involvement.The most common risk factors were high myopia 59%and hypertension 25.7%.Common etiologic factors were trauma 7.6% and cataract surgery 16.1%.

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.

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