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Published on: March 7, 2025
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Incidence and Surgical Management of Simultaneous Bilateral Retinal Detachment
M L Finger1, E Bovey2, T J Wolfensberger1
1Jules-Gonin University Eye Hospital, Lausanne, Switzerland (Chairman: Francine Behar-Cohen).
Summary
Simultaneous bilateral retinal detachment (RD) is a rare condition with an incidence of 0.9%. Surgical success rates for this condition are excellent, achieving 100% anatomical success.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Simultaneous bilateral retinal detachment (RD) is an exceptionally rare condition.
- Its precise incidence and characteristics remain poorly understood in existing literature.
Purpose of the Study:
- To determine the incidence of simultaneous bilateral RD.
- To analyze the clinical features, surgical outcomes, and success rates of this rare condition.
Main Methods:
- A retrospective review of all RD cases treated at a single eye hospital over an 11-year period (1999-2010).
- Inclusion criteria focused on patients diagnosed with simultaneous bilateral RD.
Main Results:
- An incidence of 0.9% for simultaneous bilateral RD was identified among all RD cases.
- The study identified 10 patients (20 eyes) with this condition.
- Risk factors included pseudophakia (10 eyes) and high myopia (11 eyes).
- Macula-on RD was observed in 15 eyes, with atrophic holes being the most common finding (11 eyes).
- All surgical interventions achieved a 100% final anatomical success rate.
- Mean follow-up was 22.7 months.
Conclusions:
- Simultaneous bilateral RD is a rare condition with a very low incidence.
- Surgical interventions for simultaneous bilateral RD demonstrate excellent anatomical success rates.
- Pre-operative bilateral dilated fundoscopy is crucial due to unilateral presenting symptoms in most cases.

