LATE RECURRENCE OF RETINAL DETACHMENT: INCIDENCE, CLINICAL FEATURES AND SURGICAL OUTCOMES.

Anguita, Rodrigo; Makuloluwa, Achini; Sim, Sing Yue; Flores-Sanchez, Blanca; Roth, Janice; Charteris, David G (2024). LATE RECURRENCE OF RETINAL DETACHMENT: INCIDENCE, CLINICAL FEATURES AND SURGICAL OUTCOMES. Retina, 44(1), pp. 83-87. Wolters Kluwer 10.1097/IAE.0000000000003924

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PURPOSE

To describe and evaluate demographics, clinical features, prognostic factors, rate of success of surgery, incidence and visual outcomes in patients with a late recurrence of rhegmatogenous retinal detachment(RRD) over a 10-year period at a large tertiary referral eye centre.

METHODS

A retrospective, observational case-series of patients with late recurrence of retinal detachment, defined as redetachment after at least 6 months of total reattachment in non-PVR RRD, after vitrectomy(PPV) surgery with gas tamponade.

RESULTS

39 patients with a late recurrence of RRD out of 16,396 RRD operations. The mean of time between the first RD surgery and redetachment was 122.7 weeks(SD 115). On presentation with late recurrence, 72% of eyes were pseudophakic and 64% were macula-off. In 28 eyes small breaks were found. 38% had established PVR,(PVR-C in 80 %). 95% underwent PPV. Gas was used in 61%.The initial secondary success rate was 41%. Initial BCVA was 1.32 logMAR(6/120) and final was 0.8 logMAR(6/38)(p-value 0.002).

CONCLUSION

Late recurrence of retinal detachment is rare. It is characterized by small retinal breaks which may be difficult to visualise. Although cases can be treated with favourable anatomical results, visual outcomes are often less good, the success rate is lower.

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