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Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology 8/2017

27.05.2017 | Retinal Disorders

Risk of progression in macula-on rhegmatogenous retinal detachment

verfasst von: Josep Callizo, Sebastian Pfeiffer, Eva Lahme, Christian van Oterendorp, Mohammed Khattab, Sebastian Bemme, Miroslav Kulanga, Hans Hoerauf, Nicolas Feltgen

Erschienen in: Graefe's Archive for Clinical and Experimental Ophthalmology | Ausgabe 8/2017

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Abstract

Purpose

To identify factors that may lead to a rapid progression in macula-on rhegmatogenous retinal detachment (RRD), in particular, those that may lead to macular involvement.

Methods

Observational, prospective, single-center study. Patients referred for surgery due to primary rhegmatogenous retinal detachment with the macula on between 2009 and 2013 were included. Relevant factors analyzed included age, time delay until surgery, lens status, myopia, the detachment’s location and configuration as well as number, size and type of retinal breaks. Eyes underwent optical coherence tomography to detect macular detachment. A multivariate analysis was performed to investigate the effect of several factors in the progression of retinal detachment.

Results

A total of 116 eyes of 116 patients were included. Mean time delay between admission and surgery was 1.8 ± 1.4 days. Progression was observed in 19.8% of the eyes. Of those, 47.8% presented macular detachment. Ten of the 11 (90.9%) eyes presenting progression involving the macula also exhibited a bullous configuration, which was the only parameter that correlated significantly with detachment progression in patients with (p = 0.0036) and without (p = 0.0014) macular involvement.

Conclusions

For the first time in a prospective trial, a bullous configuration was found to be a highly significant predictor for progression in macula-on detachments. Our data support prompt surgery in patients diagnosed with bullous macula-on RRD.
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Metadaten
Titel
Risk of progression in macula-on rhegmatogenous retinal detachment
verfasst von
Josep Callizo
Sebastian Pfeiffer
Eva Lahme
Christian van Oterendorp
Mohammed Khattab
Sebastian Bemme
Miroslav Kulanga
Hans Hoerauf
Nicolas Feltgen
Publikationsdatum
27.05.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Graefe's Archive for Clinical and Experimental Ophthalmology / Ausgabe 8/2017
Print ISSN: 0721-832X
Elektronische ISSN: 1435-702X
DOI
https://doi.org/10.1007/s00417-017-3696-8

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