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PERSPECTIVE
Year : 2016  |  Volume : 11  |  Issue : 1  |  Page : 100-107

Macula-Sparing rhegmatogenous retinal detachment: Is emergent surgery necessary?


Carolina Eye Associates, Southern Pines, NC, USA

Correspondence Address:
Arghavan Almony
Carolina Eye Associates, P. A. 2170 Midland Road, Southern Pines, NC 28387
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2008-322X.180696

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The status of the macula is a significant factor in determining final visual outcomes in rhegmatogenous retinal detachment (RRD) and should be considered in the timing of surgical repair. Several studies have shown that macula-involving RRDs attain similar visual and anatomic outcomes when surgery is performed within seven days as compared to emergent surgery (within 24 hours). In contrast, surgery prior to macular detachment in macula-sparing RRDs generally yields the best visual outcomes. In the case of macula-sparing RRDs, it is not clear how long the macula may remain attached, therefore, standard practice dictates emergent surgery. Timing of presentation, examination findings, case complexity, co-existing medical conditions, surgeon expertise, and timing and quality of access to operating facilities and staff, however, should all be considered in determining whether a macula-sparing RRD requires immediate intervention or if equivalent visual and possibly better overall outcomes can be achieved with scheduled surgery within an appropriate time frame.


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