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Published on: September 13, 2016
[Rhegmatogenous retinal detachment: Topography of breaks and agreement with lincoff's rules]
J P Diagne1, M E De Medeiros1, A M Ka1
1Centre hospitalo-universitaire Abass NDAO, Avenue Cheikh Anta DIOP angle Boulevard de la Gueule TAPEE, Medina, Dakar, Sénégal.
Purpose:
To study the topography of retinal breaks and their agreement with Lincoff's rules.
Materials And Methods:
We performed a retrospective descriptive study of patients with recent rhegmatogenous retinal detachments followed on the ophthalmology service of Abass Ndao Hospital from January 2006 through December 2016. Patients with no prior retinal treatment were included.
Results:
Over 11 years, we reviewed 97 patients with 107 eyes with retinal detachments. The mean age of our patients was 51.7 years, range 23-79 years. There were 69 male patients, for a male:female ratio of 2.46. Refraction revealed that 38.1% of patients were myopes. Fourteen percent (14%) of patients had experienced trauma to the eye with the detachment. The right eye was involved in 54.6% of patients. The onset was insidious in 54.6% of cases and sudden in 23.7% of cases. All patients had decreased visual acuity, associated with a scotoma in 26.8% of cases. Visual acuity was decreased to light perception through 7/10. In 64.9% of cases, Lincoff's rules were observed.
Discussion:
Lincoff's rules are still relevant for localization of the breaks in retinal detachments.
Conclusion:
Diagnosis of a retinal detachment is an essential step, since it determines the treatment. Lincoff's rules still have a role in finding the retinal break in retinal detachments.
