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Arghavan Almony, Daniel P. Joseph; Macula-On Rhegmatogenous Retinal Detachments: Does Time to Surgery Matter?. Invest. Ophthalmol. Vis. Sci. 2011;52(14):5338.
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© ARVO (1962-2015); The Authors (2016-present)
To determine if time to surgical repair of macula-on rhegmatogenous retinal detachments (RRD) affects anatomic and visual outcomes.
Retrospective review of 68 eyes with macula-on RRD. The eyes were divided into three groups: Group 1 (18 eyes) included eyes that had emergent surgical repair of the retinal detachment within eight hours of presentation; Group 2 (36 eyes) included eyes that had urgent surgical repair, 8-24 hours after presentation; Group 3 (14 eyes) included eyes that received surgical repair from 2-10 days after presentation.
The median initial visual acuity was 20/30 and the median final visual acuity was 20/40. The change in visual acuity from presentation to final follow-up was worst in Group 1, which lost an average 1.2 lines per eye compared with Group 2 which lost only 0.2 lines. Overall, 22.2% of Group 1 eyes lost ≥3 lines of vision compared with only 11.1% in Group 2 and 7.1% in Group 3. Furthermore, 72.2% of Group 1 eyes achieved ≥20/50 final visual acuity compared with >90% of Group 2 and 3 eyes. The mean follow-up was 8.9 months.
Emergent repair of macula-on retinal detachments does not yield superior visual or anatomic outcomes.
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