Original ArticleThe Correlation between Height of Macular Detachment and Visual Outcome in Macula-Off Retinal Detachments of ≤7 Days’ Duration
Section snippets
Patients and Methods
This prospective study reviewed 52 patients with macula-off RDs who underwent successful reattachment surgery within 1 week of macular involvement. The study was conducted over an 18-month period (May 1, 2002–November 1, 2003). Internal review board ethics approval was obtained for the study. All patients were interviewed and underwent a full ocular evaluation. The following data were collected for each patient: age, gender, preoperative Snellen and logarithm of the minimum angle of resolution
Results
A total of 52 patients were found to have a primary rhegmatogenous detachment for which the patient could accurately determine the onset of macular detachment and the detachment fulfilled the inclusion criteria outlined above. The age of patients ranged from 14.1 to 85.5 years, with a mean age of 60.5 years. There were 36 (69.2%) male and 16 (30.8%) female patients. There were 30 (57.7%) right eyes and 22 (42.3%) left eyes. Twenty-six (50%) were phakic, and 26 (50%) were pseudophakic. The mean
Discussion
In 1998, Ross and Kozy reported a series of 104 patients with macula-off RD of ≤7 days duration.13 All patients underwent scleral buckling surgery within 24 hours of presentation. Fifty nine percent of patients regained 20/50 or better vision, 25% regained VA between 20/60 and 20/200, and 5% of patients were left with VA of less than 20/200. There was no statistical difference in visual recovery in patients operated within 1 to 2 days, 3 to 5 days, or 5 to 7 days after macular involvement (P =
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Impact of the Time to Surgery on Visual Outcomes for Rhegmatogenous Retinal Detachment Repair: A Meta-Analysis
2022, American Journal of OphthalmologyCitation Excerpt :Fourteen of 16 studies included in our analysis of macula-off RRD repair reported on the time from symptom onset to repair. Of these, 10 studies defined symptom onset based on timing of central vision loss,13,21,22,24,26,27,29,30,34,35 whereas 4 studies did not provide further specification.11,31–33 Two macula-off RRD studies did not define whether the duration of macular detachment was from symptom onset or presentation.24,29
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Manuscript no. 240552.
The authors have no financial interest in any device or technology used in the study.