[Retinal detachment in the 2d eye. Risk factors]

Area of Science:

• Ophthalmology
• Retinal Surgery
• Public Health

Context:

• Retinal detachment (RD) affects a significant number of patients, with a notable incidence of fellow eye involvement.
• Understanding risk factors for contralateral RD is crucial for effective patient management and preventative strategies.

Purpose:

• To identify and analyze risk factors associated with retinal detachment (RD) in the second eye among patients who have undergone surgery for RD in the first eye.
• To evaluate the efficacy of prophylactic treatments for preventing fellow eye RD.

Summary:

• A study of 1148 patients revealed a 4.03% rate of second eye RD. Key risk factors identified include male gender, high myopia, and giant tears (≥70 degrees) in the first eye.
• The role of pre-existing peripheral lesions remains complex; their absence is not protective, and some lesions may not necessitate immediate intervention.
• Equatorial 360-degree argon laser photocoagulation is proposed as a prophylactic treatment for specific indications like giant tears, breaks, and progressive retinal thinning, with caution advised for eyes with dense vitreous.

Impact:

• Identifies specific patient demographics and ocular conditions that warrant closer monitoring for second eye retinal detachment.
• Provides evidence-based recommendations for prophylactic treatment, potentially reducing the incidence and impact of fellow eye retinal detachment.
• Contributes to the understanding of retinal detachment pathogenesis and informs future research and clinical guidelines.