AIM: To report the long-term visual outcome of a multicentre prospectively recruited cohort of macula-off rhegmatogenous retinal detachments (RRD) METHODS: The Scottish retinal detachment study was a prospectively recruited study that recruited all incident cases of primary RRD in Scotland over a 2-year period (2007-2009). All patients with a macula-off RRD from four participating sites were invited for clinical examination at 6 weeks, 3 months, 6 months and 1 year after the initial surgery. Using a joinpoint model we estimated the effect of duration of macular detachment on final visual outcome. RESULTS: In total, there were 291 patients with macula-off RRD without pre-existing retinal disease who had successful repair after one operation. 65.9% achieved a final visual acuity (VA) of 0.48 logMAR(6/18). Our model identified two time points (day 8 (95% CI 3 to 15 days) and (day 21 (95% CI 6 to 26 days)) after which there was a statistically significant worsening in final VA. CONCLUSIONS: Our study suggests that the majority of patients with macula-off RRD successfully repaired with one operation will achieve a VA of 6/18 or better at final follow-up. After 8 days of macular detachment, the final visual outcome may be adversely affected and, thus, operative repair within this period is desirable. Duration of macular detachment of ≤8 days demonstrated a continuing improvement in VA for up to 1 year, a finding which was not found in macula detachments of longer duration.
AIM: To report the long-term visual outcome of a multicentre prospectively recruited cohort of macula-off rhegmatogenous retinal detachments (RRD) METHODS: The Scottish retinal detachment study was a prospectively recruited study that recruited all incident cases of primary RRD in Scotland over a 2-year period (2007-2009). All patients with a macula-off RRD from four participating sites were invited for clinical examination at 6 weeks, 3 months, 6 months and 1 year after the initial surgery. Using a joinpoint model we estimated the effect of duration of macular detachment on final visual outcome. RESULTS: In total, there were 291 patients with macula-off RRD without pre-existing retinal disease who had successful repair after one operation. 65.9% achieved a final visual acuity (VA) of 0.48 logMAR(6/18). Our model identified two time points (day 8 (95% CI 3 to 15 days) and (day 21 (95% CI 6 to 26 days)) after which there was a statistically significant worsening in final VA. CONCLUSIONS: Our study suggests that the majority of patients with macula-off RRD successfully repaired with one operation will achieve a VA of 6/18 or better at final follow-up. After 8 days of macular detachment, the final visual outcome may be adversely affected and, thus, operative repair within this period is desirable. Duration of macular detachment of ≤8 days demonstrated a continuing improvement in VA for up to 1 year, a finding which was not found in macula detachments of longer duration.
Authors: David Yorston; Paul H J Donachie; D A Laidlaw; David H Steel; John M Sparrow; G W Aylward; Tom H Williamson Journal: Eye (Lond) Date: 2020-06-24 Impact factor: 4.456
Authors: Mathijs A J van de Put; Danna Croonen; Ilja M Nolte; Wouter J Japing; Johanna M M Hooymans; Leonoor I Los Journal: PLoS One Date: 2014-06-13 Impact factor: 3.240
Authors: Mathijs A J van de Put; Lisette Hoeksema; Wouter Wanders; Ilja M Nolte; Johanna M M Hooymans; Leonoor I Los Journal: PLoS One Date: 2014-12-02 Impact factor: 3.240
Authors: Luv G Patel; Travis Peck; Matthew R Starr; Michael J Ammar; M Ali Khan; Yoshihiro Yonekawa; Michael A Klufas; Carl D Regillo; Allen C Ho; David Xu Journal: Ophthalmology Date: 2020-10-13 Impact factor: 12.079