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Rhegmatogenous retinal detachments in blacks.

H Weiss, W S Tasman

    Annals of Ophthalmology
    |June 1, 1978
    PubMed
    Summary

    Retinal detachment is less common in Black patients than White patients. Trauma is the leading cause in Black individuals, while posterior vitreous detachment is most common in White individuals.

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    Area of Science:

    • Ophthalmology
    • Retinal Diseases
    • Epidemiology

    Background:

    • Primary rhegmatogenous retinal detachment (RRD) prevalence differs between racial groups.
    • Understanding these differences is crucial for targeted prevention and treatment strategies.

    Purpose of the Study:

    • To investigate and compare the etiologies and associated findings of RRD in Black and White patients.
    • To identify demographic and clinical differences in RRD presentation between these populations.

    Main Methods:

    • Retrospective review of 100 consecutive Black patients with RRD.
    • Comparison with a randomly selected group of 100 White patients with RRD.
    • Analysis of causes, associated findings, and demographics.

    Main Results:

    • Trauma was the most common cause of RRD in Black patients (52%) versus White patients (12%).
    • Posterior vitreous detachment was the leading cause in White patients (47%) but rare in Black patients (15%).
    • Myopia and/or lattice degeneration were more frequent in Black patients (19%) than White patients (9%).

    Conclusions:

    • Significant differences exist in RRD etiology between Black and White populations.
    • Trauma is a major cause of RRD in Black individuals, unlike in White individuals.
    • Ocular conditions like myopia and lattice degeneration are more prevalent in Black patients with RRD.

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