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Characteristics of spontaneous reattachment of rhegmatogenous retinal detachment: optical coherence tomography features and follow-up outcomes

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

Abstract

Purpose

To investigate the clinical features of spontaneous reattachment of rhegmatogenous retinal detachment (SRRRD) with diffuse retinal pigmentary changes.

Methods

This retrospective study included patients diagnosed with SRRRD. The diagnosis of SRRRD was made based on characteristic fundus findings, such as diffuse retinal pigmentary clumpings, retinal pigmentary atrophy, and convex lesion margins. The clinical features of SRRRD were also evaluated. In addition, optical coherence tomography (OCT) images and follow-up data were analyzed.

Results

Twenty patients were included in the study. All the patients showed unilateral involvement. SRRRD predominantly involved the inferior or temporal retina (90.0%). On OCT, severe disruption of the outer retinal layers was noted in the region of SRRRD. A subretinal gliosis band was noted in 11 patients (55.0%), and an epiretinal membrane (ERM) was noted in nine patients (45.0%). In 18 patients, a mean follow-up of 24.9 ± 29.2 months was performed. During the follow-up period, no definite retinal changes were noted on fundus examination or OCT.

Conclusions

SRRRD usually involves the inferior or temporal retina. Although severe disruption of the retinal microstructure is noted in the involved region, the condition is likely to be stable. However, long-term follow-up is required to identify progression of the ERM.

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Funding

Kim’s Eye Hospital (Seoul, South Korea) provided funding for English editing support.

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Authors and Affiliations

  1. Department of Ophthalmology, Kim’s Eye Hospital, Konyang University College of Medicine, #156 Youngdeungpo-dong 4ga, Youngdeungpo-gu, Seoul, 150-034, South Korea

    Jae Hui Kim, Jong Woo Kim & Chul Gu Kim

Authors
  1. Jae Hui Kim
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  2. Jong Woo Kim
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  3. Chul Gu Kim
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Corresponding author

Correspondence to Jae Hui Kim.

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Ethical approval

This study was approved by the Institutional Review Board of Kim’s Eye Hospital (Seoul, South Korea) and was conducted in accordance with the tenets of the Declaration of Helsinki.

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Informed consent was not obtained since no identifying information of the participants was presented in this study.

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The authors declare no competing interests.

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Kim, J.H., Kim, J.W. & Kim, C.G. Characteristics of spontaneous reattachment of rhegmatogenous retinal detachment: optical coherence tomography features and follow-up outcomes. Graefes Arch Clin Exp Ophthalmol 259, 3703–3710 (2021). https://doi.org/10.1007/s00417-021-05304-y

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  • DOI: https://doi.org/10.1007/s00417-021-05304-y

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