Long-Term Visual Outcomes and the Timing of Surgical Repair of Fovea-Splitting Rhegmatogenous Retinal Detachments.
PURPOSE: To evaluate the visual outcomes and the impact of timing of surgical repair of fovea-splitting rhegmatogenous retinal detachments (RRD).
METHOD: A retrospective, consecutive cohort from multiple surgeons at a single center. Fovea status (fovea-on, fovea-splitting, or fovea-off) was classified by preoperative optical coherence tomography. The primary outcome measure was visual acuity (VA) at last follow-up which was further correlated with the timing of surgical repair.
RESULTS: 195 eyes were included with 62 fovea-on, 65 fovea-splitting, and 68 fovea-off detachments. Mean preoperative logMAR VA for fovea-on, fovea-splitting, and fovea-off groups were 0.16±0.21, 0.70±0.56, and 1.67±0.87, respectively (p=
CONCLUSION: We described the favorable visual outcomes of surgery for fovea-splitting RRD and correlated these with the timing of surgical repair, which may help guide the management of this urgent, vision-threatening condition.
Lee R, Shields RA, Maywood MJ, Nemeth C, Wa CA, Williams GA, et al [Hassan TS, Garretson BR, Capone A Jr, Ruby AJ, Drenser KA, Faia LJ, Randhawa S, Mahmoud TH, Wolfe JD] Long-term visual outcomes and the timing of surgical repair of fovea-splitting rhegmatogenous retinal detachments. Retina. 2022 Feb 1;42(2):244-249. doi: 10.1097/IAE.0000000000003293. PMID: 34469406.