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LATE PRESENTATION OF RETINAL DETACHMENT: CLINICAL FEATURES AND SURGICAL OUTCOMES.
- Source :
-
Retina (Philadelphia, Pa.) [Retina] 2021 Sep 01; Vol. 41 (9), pp. 1833-1838. - Publication Year :
- 2021
-
Abstract
- Purpose: To describe and evaluate demographic, clinical features, prognostic factors, and rate of success of surgery and visual outcomes in patients with late presentation of retinal detachment.<br />Methods: A retrospective, comparative, observational case series of patients with late presentation retinal detachment, defined as retinal detachment with the loss of central vision for 4 weeks or more, over a period of 12 months.<br />Results: The mean of onset of central visual loss was 12.7 weeks (SD, 21.3). Proliferative vitreoretinopathy at the first operation was identified in 69% of eyes. The overall primary success rate was 69.2%, significantly less than that was found in outcomes for nonselected retinal detachment (primary success rate, 86%; P = 0.006). The initial best-corrected visual acuity was 20/500, and the final was 20/160 (P = 0.0027). There were no identifiable statistically significant socioeconomic factors related to late presentation.<br />Conclusion: A high rate of established proliferative vitreoretinopathy on presentation was identified, and although cases can be treated with good anatomical results, visual outcomes are often less favorable. Primary surgical success is lower, and more reoperations are required compared with standard retinal detachments.<br />Competing Interests: The authors report no conflicts of interest
- Subjects :
- Adolescent
Adult
Aged
Aged, 80 and over
Female
Follow-Up Studies
Humans
Male
Middle Aged
Reoperation
Retinal Detachment surgery
Retrospective Studies
Time Factors
Treatment Outcome
Young Adult
Postoperative Complications etiology
Retinal Detachment diagnosis
Visual Acuity
Vitrectomy statistics & numerical data
Vitreoretinopathy, Proliferative etiology
Subjects
Details
- Language :
- English
- ISSN :
- 1539-2864
- Volume :
- 41
- Issue :
- 9
- Database :
- MEDLINE
- Journal :
- Retina (Philadelphia, Pa.)
- Publication Type :
- Academic Journal
- Accession number :
- 34432743
- Full Text :
- https://doi.org/10.1097/IAE.0000000000003131