Surgical outcomes of rhegmatogenous retinal detachment in young adults ages 18-30 years

Karen Brown, Nicolas A. Yannuzzi, Natalia F. Callaway, Nimesh A. Patel, Nidhi Relhan, Thomas A. Albini, Audina M. Berrocal, Janet L. Davis, Jorge A. Fortun, William E. Smiddy, Jayanth Sridhar, Harry W. Flynn, Justin H. Townsend

Research output: Contribution to journalArticle

Abstract

Purpose: The purpose of this study is to investigate associations with and surgical outcomes of rhegmatogenous retinal detachment (RRD) in young adults. Methods: This is a retrospective consecutive case series of patients aged 18-30 years who underwent surgical repair for RRD between January 1, 2014 and December 1, 2016 at a university referral center. Results: The current study includes 38 eyes with RRD. Documented high or moderate myopia was present in 28 (74%) eyes. Connective tissue disease was present in 3 (8%) eyes. Median pre-operative visual acuity (VA) was 20/70. Surgery was performed via scleral buckle (SB) alone in 27/38 (71%) and via combined SB and pars plana vitrectomy (SB/ PPV) in 11/38 (29%) eyes. Single surgery anatomical success (SSAS) rate was 20/27 (74%) for SB and 7/11 (64%) for SB/PPV. The retina was reattached at last follow-up in 25/27 (93%) for SB and 11/11 (100%) for SB/PPV. The median postoperative VA was 20/40. Conclusion: In the current study of young adults with RRD, the most common association was high or moderate myopia. Visual and anatomic outcomes at last follow-up were generally favorable.

Original languageEnglish (US)
Pages (from-to)2135-2141
Number of pages7
JournalClinical Ophthalmology
Volume13
DOIs
StatePublished - Jan 1 2019

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Keywords

  • Myopia
  • Rhegmatogenous retinal detachment
  • RRD
  • Young adults

ASJC Scopus subject areas

  • Ophthalmology

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