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Primary rhegmatogenous retinal detachment: risk factors for macular involvement

  • Retinal Disorders
  • Published:
Graefe's Archive for Clinical and Experimental Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

Rhegmatogenous retinal detachment (RD) has diagnostically been divided into macula-OFF or macula-ON. The aim of this study was to describe the demographics and primary outcome of patients with RD following surgery with respect to the macular status, and to determine risk factors for macular involvement.

Methods

This prospective, observational, mono-centric cohort study was conducted at the Jules-Gonin Eye Hospital, from February 2015 until March 2017. The study included 194 eligible patients with primary RD. All patients underwent surgical treatment after baseline clinical examination. The dataset was analyzed using descriptive and analytic statistics.

Results

A total of 52.6% (102/194) of patients presented with macula-OFF RD. Mean age was 63.9 ± 12.0 vs. 59.7 ± 11.2 years in the OFF and ON group, respectively. There were 129 men (66.5%) and 65 (33.5%) women, and there were significantly more right eyes affected [right vs. left eyes 123 (63.4%) vs. 71 (36.6%), p = 0.000]. Significantly more myopes (<−3D) presented with a macula-ON RD (p = 0.04). There were more phakic patients in the cohort (55.7%), and phakic eyes were more likely to present with macula-ON RD (p = 0.01). Multivariate modeling showed that pseudophakic lens status and eyes with axial length less than 25 mm (p = 0.06) are independent predictive factors for macula-OFF RD (p = 0.02), whereas sex and laterality were not risk factors for macular involvement.

Conclusion

Pseudophakic lens status and axial length < 25 mm are independent predictive factors for macula-OFF RD. While pseudophakic lens status is a recognized risk factor for RD, shorter axial length has not been previously identified as a risk factor for the macula-OFF RD.

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Authors and Affiliations

  1. Department of Ophthalmology, University of Lausanne, Jules-Gonin Eye Hospital, Fondation Asile des Aveugles, Avenue de France 15, 1002, Lausanne, Vaud, Switzerland

    Jelena Potic, Ciara Bergin, Clarice Giacuzzo, Alejandra Daruich, Lazaros Konstantinidis & Thomas J. Wolfensberger

  2. Clinic for Eye Diseases, Clinical Center of Serbia, School of Medicine, University of Belgrade, Beograd, Serbia

    Jelena Potic

Authors
  1. Jelena Potic
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  2. Ciara Bergin
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  3. Clarice Giacuzzo
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  4. Alejandra Daruich
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  5. Lazaros Konstantinidis
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  6. Thomas J. Wolfensberger
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Corresponding author

Correspondence to Jelena Potic.

Ethics declarations

The authors have no financial interest in any aspect of this article.

The authors have no affiliations with or involvement in any organization or entity with any financial interest or non-financial interest.

All procedures performed in the study were in accordance with the ethical standards of the institutional and national research committee (Ethical Committee of Canton Vaud, Switzerland, protocol no. 483/14) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent was obtained from all individual participants included in the study.

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Potic, J., Bergin, C., Giacuzzo, C. et al. Primary rhegmatogenous retinal detachment: risk factors for macular involvement. Graefes Arch Clin Exp Ophthalmol 256, 489–494 (2018). https://doi.org/10.1007/s00417-017-3880-x

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  • DOI: https://doi.org/10.1007/s00417-017-3880-x

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