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Related Experiment Videos

Phakic retinal detachments in the elderly

C P Wilkinson1

  • 1Department of Ophthalmology, Greater Baltimore Medical Center, Baltimore, Maryland 21204, USA.

Retina (Philadelphia, Pa.)
|January 1, 1995
PubMed
Summary
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Elderly patients often experience phakic retinal detachments due to anterior horseshoe tears. These breaks may result from chronic vitreous base traction rather than acute posterior vitreous detachment.

Area of Science:

  • Ophthalmology
  • Retinal Diseases
  • Geriatric Medicine

Background:

  • Phakic retinal detachment (RD) is a serious condition affecting vision.
  • Understanding age-related differences in RD presentation is crucial for effective management.

Purpose of the Study:

  • To identify distinct clinical characteristics of nontraumatic phakic retinal detachments in elderly individuals (≥70 years).
  • To compare these features with those observed in younger patient populations.

Main Methods:

  • Retrospective analysis of 100 consecutive cases of phakic RD in patients aged 70 years and older.
  • Data collected included patient demographics, retinal break type and location, detachment extent, and vitreoretinal pathology.

Main Results:

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  • Horseshoe tears constituted approximately 90% of retinal breaks, predominantly in the superior temporal quadrant.
  • 30% of RDs were associated with horseshoe tears at the posterior vitreous base; 36% involved breaks anterior to the equator.

Conclusions:

  • The incidence of anterior breaks in elderly phakic RD is higher than previously reported.
  • Anterior horseshoe tears in the elderly may stem from chronic vitreous base traction post-posterior vitreous detachment, differing from acute causes.