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Demographic Variations in Presentation, Treatment, and Outcomes in Patients With Rhegmatogenous Retinal Detachments.

Tuyet-Minh Tran1, Ryan T Duong1, Matthew A Oley2

  • 1University of Virginia, Department of Ophthalmology, Charlottesville, VA, USA.

Journal of Vitreoretinal Diseases
|April 7, 2026
PubMed
Summary

Social determinants like race and insurance type impact rhegmatogenous retinal detachment (RRD) outcomes. Black patients and those with government insurance experienced worse visual acuity (VA) after RRD repair.

Keywords:
health equityretinal detachmentsocial determinants of healthsocioeconomics

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Area of Science:

  • Ophthalmology
  • Public Health
  • Health Disparities

Background:

  • Rhegmatogenous retinal detachment (RRD) is a serious condition affecting vision.
  • Social determinants of health (SDOH) may influence patient presentation and outcomes in RRD.
  • Understanding these disparities is crucial for equitable eye care.

Purpose of the Study:

  • To investigate the association between SDOH and RRD patient presentation.
  • To analyze how SDOH affects RRD management and surgical repair.
  • To determine the impact of SDOH on visual outcomes following RRD repair.

Main Methods:

  • A cohort study of 347 patients undergoing RRD repair from 2012-2019.
  • Utilized chart review for demographic, clinical, and visual data.
  • Employed the CDC's Social Vulnerability Index to quantify social risk.

Main Results:

  • Black patients exhibited significantly worse preoperative and final visual acuity (VA) compared to White patients.
  • Patients with government insurance had higher odds of prolonged detachment duration and poorer VA.
  • Older age was marginally associated with better final VA.

Conclusions:

  • Ethnicity and insurance status are significant factors influencing RRD outcomes.
  • Racial and socioeconomic disparities exist in RRD care and visual recovery.
  • Targeted interventions and policy reforms are necessary to address these health inequities.