Outcomes following repair of early-onset versus delayed-onset rhegmatogenous retinal detachments (RD) after acute posterior vitreous detachment (PVD)
Reviewed by Jonathan Chan

This is a retrospective single centre comparative interventional study of 210 patients in total, between 2015 to 2020, presenting with delayed RD (diagnosed >42 days after initial acute PVD presentation) compared with a 2:1 age and gender-matched acute RD cohort (PVD and RD at initial presentation). There were 70 in the delayed RD group and 140 in the acute RD group. Single surgery anatomic success (SSAS) at three months, was 82.9% for the delayed RD group and 80% for the acute group (p=0.71). The mean visual acuity (VA) at the time of RD was Snellen 20/65 in the delayed group versus 20/219 in the acute RD group (p<0.001). The mean VA was better at one- and three-months post repair in the delayed group (p=0.005 and 0.015 respectively) but similar by six months, 12 months and at the final visit post repair. The authors concluded that there was no significant difference in the anatomic outcomes between the two groups. The delayed onset RD group had better VA at the time of RD diagnosis and faster visual recovery after surgery compared to the acute-onset RD group diagnosed at initial presentation.

Outcomes following repair of early-onset versus delayed-onset rhegmatogenous retinal detachments (RD) after acute posterior vitreous detachment (PVD).
Swaminathan VB, Salabati M, Israilevich R, et al.
BRITISH JOURNAL OF OPHTHALMOLOGY
2024;104:552–7.