Study Finds, Long-Term Visual Outcomes and the Timing of Sur
A Study was conducted to evaluate the visual outcomes and the impact of timing of surgical repair of fovea-splitting rhegmatogenous retinal detachments (RRD).

Fovea status (fovea-on, fovea-splitting, or fovea-off) was classified by preoperative optical coherence tomography. The primary outcome measure was visual acuity (VA) at last follow-up which was further correlated with the timing of surgical repair.

Results:
--195 eyes were included with 62 fovea-on, 65 fovea-splitting, and 68 fovea-off detachments.

--Mean preoperative logMAR VA for fovea-on, fovea-splitting, and fovea-off groups were 0.16±0.21, 0.70±0.56, and 1.67±0.87, respectively.

--Mean postoperative logMAR VA for fovea-on, fovea-splitting, and fovea-off groups were 0.07±0.13, 0.10±0.15, and 0.20±0.22, respectively.

--A statistically significant difference in mean postoperative logMAR VA was found between fovea-off and fovea-on groups and between fovea-off and fovea-splitting groups, however not between fovea-on and fovea-splitting groups.

--VA improved when repair was performed earlier after presentation for fovea-on and fovea-off groups, but not for the fovea-splitting group.

Conclusively, the positive visual results of surgery for fovea-splitting RRD and connected them with surgical repair time, which may assist guide the care of this urgent, vision-threatening disorder.

Source: https://journals.lww.com/retinajournal/Abstract/9000/Long_Term_Visual_Outcomes_and_the_Timing_of.95408.aspx
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