Paper Information

Journal:   JOURNAL OF OPHTHALMIC AND VISION RESEARCH   2016 , Volume 11 , Number 1; Page(s) 100 To 107.
 
Paper: 

MACULA?SPARING RHEGMATOGENOUS RETINAL DETACHMENT: IS EMERGENT SURGERY NECESSARY? (PERSPECTIVE)

 
 
Author(s):  MAHMOUDI SASAN, ALMONY ARGHAVAN*
 
* CAROLINA EYE ASSOCIATES, P. A. 2170 MIDLAND ROAD, SOUTHERN PINES, NC 28387, USA
 
Abstract: 

The status of the macula is a significant factor in determining final visual outcomes in rhegmatogenous retinal detachment (RRD) and should be considered in the timing of surgical repair. Several studies have shown that macula?involving RRDs attain similar visual and anatomic outcomes when surgery is performed within seven days as compared to emergent surgery (within 24 hours). In contrast, surgery prior to macular detachment in macula?sparing RRDs generally yields the best visual outcomes. In the case of macula?sparing RRDs, it is not clear how long the macula may remain attached, therefore, standard practice dictates emergent surgery. Timing of presentation, examination findings, case complexity, co?existing medical conditions, surgeon expertise, and timing and quality of access to operating facilities and staff, however, should all be considered in determining whether a macula?sparing RRD requires immediate intervention or if equivalent visual and possibly better overall outcomes can be achieved with scheduled surgery within an appropriate time frame.

 
Keyword(s): MACULA-SPARING RHEGMATOGENOUS RETINAL DETACHMENT, EMERGENCY SURGERY, TIME-TO-SURGERY, MACULA-ON, FOVEA-SPARING, RHEGMATOGENOUS RETINAL DETACHMENT
 
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