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BILATERAL EYE PATCHING MAY IMPROVE CLINICAL OUTCOMES FOR ACUTE PRIMARY RHEGMATOGENOUS RETINAL DETACHMENT.

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Preoperative bilateral eye patching (BEP) can reduce subretinal fluid and improve vision in acute primary rhegmatogenous retinal detachments (RRDs). High compliance with BEP (>50% of the time) yielded the most significant benefits for patients.

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Area of Science:

  • Ophthalmology
  • Retinal Surgery
  • Visual Acuity Research

Background:

  • Acute primary rhegmatogenous retinal detachments (RRDs) require timely surgical intervention.
  • Subretinal fluid (SRF) and foveal status are critical indicators of surgical success and visual prognosis.
  • The role of preoperative interventions like bilateral eye patching (BEP) in managing RRDs remains an area of investigation.

Purpose of the Study:

  • To evaluate the impact of preoperative bilateral eye patching (BEP) on subretinal fluid (SRF) and visual outcomes in patients with acute primary rhegmatogenous retinal detachments (RRDs).

Main Methods:

  • A retrospective nonrandomized interventional study involving 335 patients with RRD.
  • Patients were divided into a BEP cohort (n=240) with varying compliance levels (high ≥90%, medium >50% to <90%, low <50%) and a control group (n=95) who declined BEP.
  • SRF, foveal status, and best-corrected visual acuity (BCVA) were assessed before surgery and during follow-up (≥3 months).

Main Results:

  • High and medium compliance BEP groups showed significantly greater SRF reduction compared to low compliance and control groups (P < 0.01).
  • Macular-off RRD patients with high/medium BEP compliance had significantly higher rates of foveal reattachment (P < 0.01).
  • Mac-off RRD patients with high BEP compliance achieved significantly better final BCVA compared to low compliance and control groups (P = 0.04 and P = 0.02, respectively).

Conclusions:

  • Preoperative bilateral eye patching (BEP) can effectively stabilize or reduce subretinal fluid in acute primary RRDs.
  • Patients adhering to BEP for more than 50% of the time experienced the most substantial clinical benefits.
  • BEP represents a potentially valuable adjunctive measure in the management of acute RRDs, particularly for improving visual outcomes in macular-off cases.