A Retrospective Clinical Study of the Etiology and Post-operative Visual Outcome of Rhegmatogenous Retinal Detachment
Aim: To study the etiology of rhegmatogenous retinal detachment and visual outcome after retinal detachment surgery. Materials and methods: Retrospective study conducted at the tertiary eye care hospital over a period of one year. Thirty eyes of 30 patients were included after fulfilling the inc...
Main Authors: | , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Private Limited
2014-06-01
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Series: | Journal of Clinical and Diagnostic Research |
Subjects: | |
Online Access: | https://jcdr.net/articles/PDF/4444/8303_F(DK)_PF1(PAK)_PFA(AK)_PF1(AGAK)_PF2(AGAK)_PF2(PN).pdf |
Summary: | Aim: To study the etiology of rhegmatogenous retinal detachment
and visual outcome after retinal detachment surgery.
Materials and methods: Retrospective study conducted at the
tertiary eye care hospital over a period of one year. Thirty eyes
of 30 patients were included after fulfilling the inclusion criteria.
Complete ocular examination details of each patient such as visual
acuity for distant vision (checked with Snellen’s acuity chart),slit
lamp examination, fundus examination (done with +90D lens) and
binocular indirect ophthalmoscopy. In addition the following were
noted: extent of the detachment present, position and number of
breaks, status of the macula, presence of PVR, mobility of retina
and presence of any peripheral retinal degenerations, and fundus
photographs of the patient (before and after surgery).
Results: Risk factors for retinal detachment included myopia
in 7 eyes (23.3%), prior cataract surgery in 10 eyes (33.3%),
peripheral retinal degeneration in 3 eyes (10%) and traction with
new vessels in 1 eye (3.3%). Eighteen eyes (60%) presented
with macula off while 12 eyes (40%) presented with macula
partly or completely attached. Visual acuity at presentation was
<3/60 in 16 eyes. Following surgery, retina was attached in 28
eyes (93.3%) and remained detached in 2 eyes (6.7%). Visual
acuity after surgery was <3/60 in 12 eyes.Visual acuity improved
in 13 eyes (43.3%), remained the same in 16 eyes (53.3%) and
worsened in 1 eye (3.3%).
Conclusion: Myopia and prior cataract surgery are important
risk factors for Rhegmatogenous Retinal Detachment. Majority
of patients in this setting presented late with Rhegmatogenous
Retinal Detachment and this was responsible for relatively poor
visual outcomes despite good anatomical results after surgery.
Proper screening of eyes at risk and education of patients is
important for preventing visual loss due to retinal detachment. |
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ISSN: | 2249-782X 0973-709X |