Clinical characteristics of rhegmatogenous retinal detachment
Keywords:
rhegmatogenous retinal detachment, retinal break, proliferative vitreoretinopathy.Abstract
Objective: To describe the clinical characteristics of rhegmatogenous retinal detachment (RRD).
Materials and methods: A descriptive, cross-sectional study of 237 eyes of 237 patients considered new cases of RRD was carried out. All patients in the selected sample required surgery. They were treated at Vitreous Retina Service of Ramón Pando Ferrer Cuban Institute of Ophthalmology from May 2016 to May 2017. The study covered the period from the onset of symptoms to the preoperative evaluation consultation, as well as symptoms, signs symptoms and proliferative vitreoretinopathy. In addition, descriptive statistical techniques were used.
Results: Most of the cases presented between one and up to four weeks after the onset of symptoms (56.96%; n = 135), with sudden decrease in vision (98.3%; n = 233). In the examination, detached macula prevailed (68%; n = 160), transparent vitreous (62%; n = 147), without DVP (60.3%; n = 143), presence of horseshoe tear (59.1%; n = 140) and poor BCVA (mean 1.07 LogMAR, standard deviation 0.81 LogMAR). 21.52%; n = 51 presented PVR.
Conclusions: Most of the new cases of rhegmatogenous retinal detachment presented in the preoperative consultation with more than one week of evolution, when the macula was detached with a lot of visual deterioration. The frequency of proliferative vitreoretinopathy was high.