Macula off Retinal Detachments. how Long Can They Wait before it is Too Late

Abstract

The best mean postoperative vision (LogMAR 0.35) was seen in patients with detachment of <1 week duration. Patients <60 years are more likely to achieve visual improvement despite the duration of the detachment. Macula off detachments of >6 weeks duration have a significantly poor postoperative visual prognosis. Awareness of this visual prognosis can assist in planning the timing of surgery to ensure an acceptable result.

Scleral buckling versus primary vitrectomy in rhegmatogenous retinal detachment study (SPR Study): predictive factors for functional outcome. Study report no. 6

“…Although other factors were discussed in previous studies, we could not confirm the relevance of duration of macular detachment (as it was not recorded in the SPR Study) [6,23,25,26] and patient age [6,23,25,29] to final visual results.…”

Surgical outcomes for primary rhegmatogenous retinal detachments in phakic and pseudophakic patients: the Retina 1 Project--report 2

“…These include the age of patients,12 21 22 preoperative PVR,8 18 20 extension of RD,8 11 previous RD or other ocular surgery,18 and the status of the macula 12 20 22. In our series, only 35% of the RDs had macula-on at the time of surgery.…”

Impact of Duration of Macula-Off Retinal Detachment on Visual Outcome

“…[11][12][13][14][15][16]21 In addition, two reviews were found. The 14 studies found consisted of 7 prospective observational 9,10,16,18-20,22 and 7 retrospective observational studies.…”