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K.A. Warren, A.C. Stechschulte; Duration of Detachment and Visual Outcomes in Patients With Macula Detachment and Rhegmatogenous Retinal Detachment . Invest. Ophthalmol. Vis. Sci. 2005;46(13):5510.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: Macular detachment in association with rhegmatogenous retinal detachment generally carries a guarded prognosis. Many factors, including duration, have been postulated to be responsible for the reduction of vision. The purpose of our study was to examine the effect of the duration of macular detachment on visual outcomes. Methods: Nineteen(19) patients with macula –off rhegmatogenous detachment were identified from our patient database at the University of Kansas Medical Center. Patients with known macular disease, diabetic retinopathy, and recurrent retinal detachment were excluded. Patients were subdivided into three groups based on the duration of their macula detachment. Group 1 was detached for 7 days or less; Group 2 was detached for greater than 7 days but less than 30 days; Group 3 was detached for greater than 30 days Each group consisted of at least 6 patients. Data is used from post operative follow up ranging from 2 months to 80 months. Results:Group 1 preop best corrected vision ranged from 0.007 logmar (3/400) to 0.5 logmar(20/40). Average preop best corrected vision was 0.2229 (20/89).Average final best corrected vision was 0.7683 (20/26) with a range of 0.67 to 1.0 logmar (20/20). Group 2 preop best corrected vision ranged from 0.002 (1/400) to 0.2 (20/100). Average preop best corrected vision was 0.0707(20/200).Average final best corrected vision was 0.6116 (20/32) with a range of 0.2 to 1.0 logmar (20/20). Group 3 preop best corrected vision ranged from 0.005 (2/400) to 0.2 (20/100). Average preop best corrected vision was 0.0688 (20/290).Average final best corrected vision was 0.4557 (20/43) with a range of 0.05 to 0.8 logmar (20/25) Conclusions: Preoperative and post operative visual outcomes were better in patients with shorter duration of macular detachment. There was no correlation between preoperative vision and final visual outcome. Some patients with macular detachment greater than 30 days had excellent outcomes. Other factors including treatment modality, patient age and total duration will be presented. While visual acuity is worse in patients with longer duration detachment, good visual outcomes can be attained in patients with detachments greater than 30 days.
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