June 2022
Volume 63, Issue 7
Open Access
ARVO Annual Meeting Abstract  |   June 2022
Surgical Outcomes of Rhegmatogenous Retinal Detachment in Patients 30 Years of Age or Younger at Three Months, One Year and Five Years Follow Up
Author Affiliations & Notes
  • Samuel Minaker
    Ophthalmology, Rush University Medical Center, Chicago, Illinois, United States
  • Sarah Abdel-Hadi
    Ophthalmology, Rush University Medical Center, Chicago, Illinois, United States
  • Makena Parker
    Ophthalmology, Rush University Medical Center, Chicago, Illinois, United States
  • Mathew MacCumber
    Ophthalmology, Rush University Medical Center, Chicago, Illinois, United States
  • Footnotes
    Commercial Relationships   Samuel Minaker None; Sarah Abdel-Hadi None; Makena Parker None; Mathew MacCumber None
  • Footnotes
    Support  None
Investigative Ophthalmology & Visual Science June 2022, Vol.63, 3439 – F0339. doi:
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      Samuel Minaker, Sarah Abdel-Hadi, Makena Parker, Mathew MacCumber; Surgical Outcomes of Rhegmatogenous Retinal Detachment in Patients 30 Years of Age or Younger at Three Months, One Year and Five Years Follow Up. Invest. Ophthalmol. Vis. Sci. 2022;63(7):3439 – F0339.

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

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Abstract

Purpose : The purpose of this study is to investigate the associations with and surgical outcomes of rhegmatogenous retinal detachments in young adults with three months, one and five years of follow up.

Methods : A retrospective consecutive case series of patients 30 years of age or younger who underwent surgical repair for RRD between 2014 and 2021 at a single practice (12 offices).

Results : 101 patients (109 eyes) were included with at least 3 months of follow up. 67 patients (74 eyes) and 17 patients (19 eyes) were followed for at least 1 year and 5 years respectively. The most common association was myopia 66 eyes (60.1%) followed by trauma 8 eyes (7.3%) and prior ocular surgery 7 eyes (6.4%). Median pre-op Snellen visual acuity was 20/40. The macula was attached in 31 eyes. Five eyes (4.6%) presented with giant retinal tear detachments. The most common method of surgery was Scleral buckle alone (SB) in 71 eyes followed by Vit buckle in 29 eyes and PPV alone in 8 eyes. Single surgery anatomical success was 88.7% for SB, 89.7% for SB/PPV and 75% for PPV. The median final post-operative Snellen visual acuity was 20/30. 12 Patients presented with bilateral retinal detachments and the most common treatment was sequential surgery in 8 patients followed by 4 patients who underwent surgery with laser barricade in the fellow eye. 14 eyes developed a retinal tear or detachment in the fellow eye with a mean interval of 8 months from presentation, the longest interval was 3 years and 11 months. Of the 17 patients that were followed for at least 5 years, 3 patients (17.6%) developed a retinal tear or detachment in the fellow eye. After initial anatomical success 4 eyes (3.6%) developed redetachment with the most common cause being proliferative vitreoretinopathy. The longest interval of redetachment from initial repair was 9 months.

Conclusions : The most common association of rhegmatogenous retinal detachment in this study was myopia. Scleral buckle was the most common surgical intervention. Outcomes were generally favorable. Surgeons and patients should be aware of the risk of bilateral retinal detachment as well as the risk of retinal tear and detachment in the fellow eye. Patients require long term surveillance in both eyes.

This abstract was presented at the 2022 ARVO Annual Meeting, held in Denver, CO, May 1-4, 2022, and virtually.

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