April 2009
Volume 50, Issue 13
Free
ARVO Annual Meeting Abstract  |   April 2009
Visual Outcomes in Early versus Late Macula-On Retinal Detachment Repair
N. J. Khan; M. M. Lai; E. Weichel; D. M. Berinstein
Author Affiliations & Notes
  • N. J. Khan
    Georgetown/Washington Hospital Center, Retina Group of Washington, Washington, Dist. of Columbia
    School of Medicine, Case Western Reserve University, Cleveland, Ohio
  • M. M. Lai
    Georgetown/Washington Hospital Center, Retina Group of Washington, Washington, Dist. of Columbia
  • E. Weichel
    Georgetown/Washington Hospital Center, Retina Group of Washington, Washington, Dist. of Columbia
    Medical Center, Walter Reed Army, Washington, Dist. of Columbia
  • D. M. Berinstein
    Georgetown/Washington Hospital Center, Retina Group of Washington, Washington, Dist. of Columbia
  • Footnotes
    Commercial Relationships  N.J. Khan, None; M.M. Lai, None; E. Weichel, None; D.M. Berinstein, None.
  • Footnotes
    Support  None.
Investigative Ophthalmology & Visual Science April 2009, Vol.50, 3179. doi:
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      N. J. Khan, M. M. Lai, E. Weichel, D. M. Berinstein; Visual Outcomes in Early versus Late Macula-On Retinal Detachment Repair. Invest. Ophthalmol. Vis. Sci. 2009;50(13):3179.

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Abstract

Purpose: : To describe the single surgery anatomic success rates and visual outcomes of macula-on retinal detachment repaired within 24 hours compared to later than 24 hours.

Methods: : All eyes underwent surgical repair of the macula-on retinal detachment with a scleral buckle, standard 3-port pars plana vitrectomy or combination of both procedures. The duration from the initial exam to the time or operation was categorized as early surgical repair (<24hours) versus late surgical repair (>24 hours). Visual acuity analysis excluded all eyes with a preoperative best-corrected visual acuity (BCVA) worse than 20/.25 due to preexisting retina/optic nerve disease or media opacity. Statistical analysis was completed using SPSS version 15.0.

Results: : Sixty six macula-on retinal detachments, 42 phakic and 24 preoperative pseudophakic eyes had retinal detachment repair with a median time to surgery of 1.0 ± 2.1 (range 0-10) days.. The mean age in early repair (59 years) was not statistically different in the late repair group (53 years) (T-test, P=0.12). The median duration of symptoms was 3.5 ± 90.1 days (range 0-730 days). The median clock hours of retinal detachment was 3.0 ± 1.8 (range 1.0-10.0) with no difference in the mean duration within each group (T-test, P=0.73). The overall single surgery anatomic success rate was 59 of 66 eyes (89%). The single surgery anatomic success rate between both the early [32 of 37 (87%)] versus late [27 of 39 (93%)] repair groups showed no difference (Fisher exact two-tailed exact test, P=0.45). The median time of documented follow up was 6.5 ± 8.9 (0.9-28.4) months with the mean final logMAR BCVA of no statistical difference between the two groups [early (0.11±0.03) versus late (0.18±0.03), T-test; P=0.11]. The rates of complications demonstrated no difference between the early versus late surgical repair group [postoperative glaucoma (P=0.5), postoperative hemorrhage (P=0.19)].

Conclusions: : Late (>24 hours) macula-on retinal detachment repair does not appear to cause worse visual outcomes compared to early surgical intervention (less than 24 hours.) The surgical success rate in early versus late macula-on retinal detachment repair appears similar. There was no difference in the complication rates between the two groups.

Keywords: retinal detachment • vitreoretinal surgery • macula/fovea 
© 2009, The Association for Research in Vision and Ophthalmology, Inc., all rights reserved. Permission to republish any abstract or part of an abstract in any form must be obtained in writing from the ARVO Office prior to publication.
Copyright © 2025 Association for Research in Vision and Ophthalmology.
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