Retinal detachment in developing countries

Yorston, David; Jalali, Subhadra

doi:10.1038/sj.eye.6700188

Cited by 51 publications

(49 citation statements)

References 29 publications

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“…These patients are legally blind in this eye. As has been reported previously, retina detachment cases in Africa often present with vision being affected, and can be quite poor in this category of patients, and our series confirms this [9].…”

Section: Discussionsupporting

confidence: 79%

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Giant Retina Tear in an African Population: Presentation and Fellow Eyes

Okonkwo¹,

Hassan²,

Michael³

et al. 2017

OJOph

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Aim: To examine the profile and presentation of a consecutive series of giant retinal tears (GRTs) in an African population. Also to review the clinical state of the patient's fellow eyes. Method: A retrospective observational case series of thirty-six consecutive eyes of 36 patients with a GRT retina detachment that had vitreoretina surgery done between April 2006 and June 2013. All information was extracted from the patient's case records. Result: Thirty-nine case records had surgery consecutively within the study period. Three case records had incomplete data and were excluded from the analysis. Thirty-six eyes were analyzed. There were mostly males (80.6%), age range 21 -65 yrs (mean age 47 yrs). The commonest etiology was idiopathic (21 eyes). Presenting visual acuity was mostly in the counting finger and hand motion range (83%), and the mean presenting intraocular pressure was 6.8 mmHg. Most of the eyes presented with a total retina detachment (4 quadrant involvement; 56%), macular involvement (96%), commonest size of the retina tear being between 90 to 180 degrees in 20 eyes; rolled over retina flap (61%) and advanced grades of PVR being very common (83%). The commonest fellow eye event noted was blindness in 16 fellow eyes; while 12 eyes had prophylactic retina laser photocoagulation to peripheral predisposing retina lesions. Conclusion: The presentation of GRT in a low resource country is often as a complex retina detachment situation, which may arise from frequent delays to assess care and other socioeconomic issues. This carries significant implications on prognosis following surgical intervention. Also this study raises the awareness that fellow eyes of GRT in Africa are at increased risk of blindness and require more careful attention.

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Section: Discussionsupporting

confidence: 79%

“…This poor preoperative vision may be as a result of delay in presentation as has been noted previously [8] [9]. Also, the fact that all the eyes but one in our series had macular involvement at presentation explains the poor vision.…”

Section: Discussionmentioning

confidence: 53%

Giant Retina Tear in an African Population: Presentation and Fellow Eyes

Okonkwo¹,

Hassan²,

Michael³

et al. 2017

OJOph

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“…Blunt ocular trauma is a leading cause of RRD in children and adolescents (10) and it is an important cause of RD in Africa (6). Retinal breaks resulting from blunt traumas are usually due to compression of the globe along its antero-posterior diameter with compensatory expansion at the equatorial plane.…”

Section: Discussionmentioning

confidence: 99%

“…In the United States (2,3) and Europe (4,5), an annual incidence of retinal diseases or retinal detachment (RD) between 6 to 12 per 100,000 population per year have been reported. Population-based surveys on the incidence of RD in developing countries are scarce (6) and little is known about the incidence of retinal detachment in Africa (7).…”

Section: Introductionmentioning

confidence: 99%

Factors predisposing to rhegmatogenous retinal detachment among Ethiopians

Solomon¹,

Teshome²

2011

Ethiopian Journal of Health Development

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Aim: To determine and describe the causes and risk factors predisposing Ethiopian patients to rhegmatogenous retinal detachment (RRD). Methods: A retrospective study of all patients with RRD seen at the retina clinic of Menilik II Hospital, Addis Ababa, from April 1999 to October 2003 was done. Charts of patients with the diagnosis of RRD were collected and data were filled on structured questionnaires and analyzed using EPI INFO 6 software. Results: Data were available for 276 patients (305 eyes) in whom the diagnosis of RRD was made. Age of patients ranged from 7-85 years; mean age was 41 and median was 40 years.

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“…Surgery for retinal detachment is very effective in developing countries such as India and East Africa. 9 A significant number of patients also presented with retintis pigmentosa, retinal vascular occlusions, sickle cell retinopathy, couching, intraocular foreign body, and pseudophakos dislocated into the vitreous (see Table 1). It is likely that the incidence of vitreoretinal disease will increase, with the increasing number of cataract surgery causing more posterior segment complications.…”

Section: Sir Retinal Diseases In Ibadanmentioning

confidence: 99%