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Retinal detachment in retinitis pigmentosa
Weng Onn Chan1, Nicholas Brennan2, Andrew R Webster2
1South Australian Institute of Ophthalmology, Royal Adelaide Hospital, Adelaide, South Australia, Australia.
BMJ Open Ophthalmology
|July 17, 2020
Summary
Retinitis pigmentosa-related retinal detachment (RPRD) surgery achieved an 85.7% reattachment rate, with some vision improvement. However, long-term vision may be impacted by retinitis pigmentosa-associated macular degeneration.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Surgical Outcomes
Background:
- Retinitis pigmentosa-related retinal detachment (RPRD) is a rare complication.
- The full spectrum of RPRD and its surgical outcomes require further definition.
Purpose of the Study:
- To classify RPRD types.
- To evaluate surgical outcomes, including visual acuity (VA) and reattachment rates, for RPRD patients.
Main Methods:
- Retrospective case series of 90 RPRD patients (2000-2017).
- Data collected from electronic health records (Moorfields OpenEyes).
- Analysis of RPRD classification, surgical interventions, VA, and reattachment rates.
Main Results:
- Rhegmatogenous retinal detachment (RRD) was the most common type (67.8%).
- Surgical intervention was performed in 56 patients; 9 were inoperable.
- The final reattachment rate for RRD was 85.7%, with a trend towards improved VA post-surgery.
Conclusions:
- Surgical intervention for RPRD can achieve high reattachment rates (85.7%).
- A trend towards improved visual acuity was observed post-surgery.
- Long-term visual prognosis may be limited by retinitis pigmentosa-associated macular degeneration.
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