April 2011
Volume 52, Issue 14
ARVO Annual Meeting Abstract  |   April 2011
Macula-On Rhegmatogenous Retinal Detachments: Does Time to Surgery Matter?
Author Affiliations & Notes
  • Arghavan Almony
    Department of Ophthalmology, University of Missouri - Columbia, Columbia, Missouri
  • Daniel P. Joseph
    Barnes Retina Institute, Saint Louis, Missouri
    Department of Ophthalmology and Visual Sciences, Washington University in St. Louis, Saint Louis, Missouri
  • Footnotes
    Commercial Relationships  Arghavan Almony, None; Daniel P. Joseph, None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science April 2011, Vol.52, 5338. doi:
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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)

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Purpose: : To determine if time to surgical repair of macula-on rhegmatogenous retinal detachments (RRD) affects anatomic and visual outcomes.

Methods: : 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.

Results: : 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.

Conclusions: : Emergent repair of macula-on retinal detachments does not yield superior visual or anatomic outcomes.

Keywords: retinal detachment • retina • vitreoretinal surgery 

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