Purpose: To report the anatomic and visual outcomes of eyes developing delayed rhegmatogenous retinal detachment (RRD) post macular surgery. Methods: This was a retrospective, multicentric study including eyes undergoing RRD repair at least 3 months after macular surgery for either full-thickness macular hole (FTMH) or epiretinal membrane (ERM). Anatomic and functional assessment, i.e., pre- and post-operative best corrected visual acuity (BCVA), indications and details of macular and RRD surgery, time interval from macular surgery to RRD, intraocular tamponade, location, extent of RRD, and nature of retinal break was performed. Results: Sixteen out of 2906 eyes (0.55%) undergoing macular surgery developed RRD after 8.4 ± 5.8 months (mean±SD). Intra-operative peripheral retina evaluation showed missed/de-novo break (11 eyes; 68.75%), no identifiable break i.e., probable microbreak (2 eyes; 12.5%), giant retinal tear (2 eyes; 12.5%), and retinoschisis related break (1 eye; 6.25%). Anatomical success i.e., attached retina after one surgery was seen in 14 eyes (87.5%). BCVA worsened from 0.6±0.3 logMAR (Snellen equivalent 20/80) at baseline to 0.9±0.8 logMAR (20/160) through the last visit (p<0.001). Conclusion: RRD post-macular surgery occurs predominantly via missed/de-novo retinal breaks. A significant percentage (50%) of eyes showed worse visual acuity compared to baseline despite successful retinal reattachment.
Delayed rhegmatogenous retinal detachment post macular surgery – a multicentric study
Romano, Mario;
2025-01-01
Abstract
Purpose: To report the anatomic and visual outcomes of eyes developing delayed rhegmatogenous retinal detachment (RRD) post macular surgery. Methods: This was a retrospective, multicentric study including eyes undergoing RRD repair at least 3 months after macular surgery for either full-thickness macular hole (FTMH) or epiretinal membrane (ERM). Anatomic and functional assessment, i.e., pre- and post-operative best corrected visual acuity (BCVA), indications and details of macular and RRD surgery, time interval from macular surgery to RRD, intraocular tamponade, location, extent of RRD, and nature of retinal break was performed. Results: Sixteen out of 2906 eyes (0.55%) undergoing macular surgery developed RRD after 8.4 ± 5.8 months (mean±SD). Intra-operative peripheral retina evaluation showed missed/de-novo break (11 eyes; 68.75%), no identifiable break i.e., probable microbreak (2 eyes; 12.5%), giant retinal tear (2 eyes; 12.5%), and retinoschisis related break (1 eye; 6.25%). Anatomical success i.e., attached retina after one surgery was seen in 14 eyes (87.5%). BCVA worsened from 0.6±0.3 logMAR (Snellen equivalent 20/80) at baseline to 0.9±0.8 logMAR (20/160) through the last visit (p<0.001). Conclusion: RRD post-macular surgery occurs predominantly via missed/de-novo retinal breaks. A significant percentage (50%) of eyes showed worse visual acuity compared to baseline despite successful retinal reattachment.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
