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Published on: September 11, 2013
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Characteristics, Risks, and Prevention of Rhegmatogenous Retinal Detachment in the Contralateral Eye.
Rami Al-Dwairi1, Omar Saleh1, Hasan Mohidat1
1Division of Ophthalmology, Department of Special Surgery, Faculty of Medicine, Jordan University of Science & Technology, Irbid 22110, Jordan.
Journal of Clinical Medicine
|January 11, 2025
Summary
Rhegmatogenous retinal detachment (RRD) in one eye increases the risk of RRD in the other. Prophylactic retinopexy can reduce fellow-eye RRD, especially for high-risk breaks, but not for lattice degeneration alone.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Preventive Medicine
Background:
- Rhegmatogenous retinal detachment (RRD) is a significant cause of vision loss.
- Risk factors for RRD in one eye often predispose the fellow eye to detachment.
- Understanding these risk factors is crucial for preventing bilateral disease.
Purpose of the Study:
- To identify presenting factors associated with bilateral RRD.
- To evaluate the effectiveness of prophylactic retinopexy in preventing fellow-eye RRD.
Main Methods:
- Retrospective analysis of patients undergoing pars plana vitrectomy for RRD.
- Data extracted from a medical database.
- Primary outcome: incidence of fellow-eye RRD based on risk factors. Secondary outcome: effect of prophylactic retinopexy.
Main Results:
- Bilateral RRD occurred in 13.7% of 348 patients.
- Factors associated with fellow-eye RRD included total RRD, lattice degeneration, high-risk breaks, inferior-nasal quadrant involvement, and connective tissue diseases.
- Prophylactic retinopexy significantly reduced fellow-eye RRD incidence, particularly for high-risk breaks, but not for lattice degeneration alone.
Conclusions:
- Identifying perioperative risk factors for first-eye RRD is critical.
- Prophylactic laser retinopexy shows promise in preventing fellow-eye RRD.
- Patient education on RRD symptoms is essential.
