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Asymptomatic rhegmatogenous retinal detachments

R D Brod1, H W Flynn, D A Lightman

  • 1Department of Ophthalmology, Hershey (Pa) Medical Center, USA.

Archives of Ophthalmology (Chicago, Ill. : 1960)
|August 1, 1995
PubMed
Summary

Most asymptomatic rhegmatogenous retinal detachments do not progress. Observation is a viable treatment option, but patients need education on risks and self-monitoring for visual field changes.

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Area of Science:

  • Ophthalmology
  • Retinal Diseases

Background:

  • Asymptomatic rhegmatogenous retinal detachment (RRD) is a condition where a tear in the retina occurs without noticeable symptoms.
  • The natural history and progression risk of these asymptomatic detachments require further characterization.

Purpose of the Study:

  • To investigate the clinical features and progression risk associated with asymptomatic rhegmatogenous retinal detachments.

Main Methods:

  • A retrospective review of 28 patients (31 eyes) diagnosed with asymptomatic RRD was conducted.
  • Patients were followed without surgical intervention for an average of 3.4 years.
  • Tears were classified as tractional (6 eyes) or atrophic holes (25 eyes).

Main Results:

  • The vast majority of eyes (29/31) remained asymptomatic with no progression of the retinal detachment.
  • Two eyes progressed to symptomatic retinal detachment after 2.25 and 3.3 years, respectively.
  • These two eyes were successfully treated with scleral buckling, achieving 20/20 visual acuity.

Conclusions:

  • Non-surgical observation is a reasonable management strategy for asymptomatic RRD.
  • Informed consent is crucial, involving documentation of observation risks/benefits and patient education on self-monitoring of peripheral vision.

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