Effect of Symptom Duration until Surgery on First-Year Outcome in Pseudophakic Primary Rhegmatogenous Retinal...

Area of Science:

• Ophthalmology
• Retinal Surgery

Background:

• Rhegmatogenous retinal detachment (RRD) is a serious ocular condition requiring timely intervention.
• Pseudophakic eyes present unique challenges in RRD management.
• Macular involvement significantly impacts visual prognosis in RRD.

Purpose of the Study:

• To evaluate the impact of symptom duration on anatomical and functional outcomes in pseudophakic primary RRD.
• To compare outcomes between macula-off and macula-on RRD based on symptom duration.
• To identify optimal surgical timing for RRD repair.

Main Methods:

• Retrospective analysis of pars plana vitrectomy cases for RRD repair.
• Categorization of symptom duration into distinct time intervals (1-3, 4-7, 8-14, 15-30, >30 days).
• Correlation of symptom duration with redetachment rates and functional outcomes within the first year post-surgery.

Main Results:

• In macula-off RRD, extended symptom duration correlated with increased redetachment rates (10-21%, p=0.032).
• Patients with symptoms <8 days had significantly lower redetachment rates compared to those with longer durations (p=0.046).
• No significant association between symptom duration and outcome was observed in macula-on RRD (p>0.6).

Conclusions:

• Prompt surgical repair is essential for macula-off RRD to minimize redetachment risk.
• Preventing progression to a macula-off state is the primary goal in managing macula-on RRD.
• Symptom duration is a critical factor influencing outcomes in macula-off RRD.