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COMBINED RHEGMATOGENOUS RETINAL AND CHOROIDAL DETACHMENT: A Systematic Review
Jonathan C Tsui1, Alexander J Brucker, Benjamin J Kim
1Department of Ophthalmology, Scheie Eye Institute, Perelman School of Medicine at University of Pennsylvania, Philadelphia, Pennsylvania.
Retina (Philadelphia, Pa.)
|March 9, 2023
Summary
Eyes with concurrent rhegmatogenous retinal and choroidal detachment (RRD-CD) are uncommon, presenting with low intraocular pressure and poor visual acuity. Pars plana vitrectomy with or without scleral buckle offers the best surgical outcomes for RRD-CD.
Area of Science:
- Ophthalmology
- Retinal Diseases
- Choroidal Diseases
Background:
- Concurrent rhegmatogenous retinal and choroidal detachment (RRD-CD) is a rare condition.
- Eyes with RRD-CD typically present with diminished baseline visual acuity (VA) and intraocular pressure (IOP) compared to RRD alone.
Approach:
- A comprehensive literature review was conducted, searching multiple databases for studies on RRD-CD.
- All English language primary literature published through October 2022 was included.
Key Points:
- Low IOP and poor initial VA are characteristic features of RRD-CD.
- Surgical success rates vary, with pars plana vitrectomy (PPV) ± scleral buckle (SB) showing higher efficacy than SB alone.
- Factors influencing reattachment rates include age, IOP, adjuvant steroids, and the grade of proliferative vitreoretinopathy.
Conclusions:
- Steroids can be safely administered via periocular or intravitreal injection as adjuvant therapy.
- PPV ± SB is associated with the best surgical outcomes for managing RRD-CD.
