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Dealing with rhegmatogenous retinal detachment in patients under 40 years old: a tertiary center results

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Abstract

Purpose

The risk of rhegmatogenous retinal detachment (RRD) increases with age, but some studies report a secondary peak in younger patients. Since visual recovery in RRD depends on surgical treatment and, considering the personal, social and economic burden of low vision in the working-age population, our purpose was to analyze the features and outcomes of RRD in young patients.

Methods

Clinical data of patients under 40 years old submitted to surgery for first time RRD, consecutively selected between 2016 and 2019, was analyzed. Patients with less than 3 months follow-up were excluded.

Results

Eighty-nine eyes from 89 patients were included. Mean age was 31.2 ± 7.8 years (minimum 10 years) and 56% were female gender. Most patients (63%) had high myopia. Pars plana vitrectomy (79%) alone, combined with scleral buckling (1%) or scleral buckling alone (20%) was performed. Primary anatomical success was 72%, and final anatomical success was 91%. Final visual acuity of 20/40 or better was achieved in 29% of cases, but 28% remained under 20/400. The presence of myopia (p = 0.022), localized RRD (p = 0.007) and attached macula at presentation (p < 0.001) was associated with a better final visual acuity.

Conclusion

Management of RRD in young patients must be thorough. In younger patients, anatomical outcomes may be worse than in older patients. Myopia may be recognized as a major risk factor for RRD in this age group, but also as a protective factor for retinal function after surgery.

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Availability of data and material

Data used for analysis is anonymously available in Supplementary Material 1.

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Funding

This study received no funding.

Author information

Authors and Affiliations

  1. Ophthalmology Department, Centro Hospitalar Universitário do Porto, Largo Prof. Abel Salazar, 4099-001, Porto, Portugal

    João Heitor Marques, Catarina Castro, Luísa Malheiro, Nuno Alves Correia, Bernardete Pessoa, João Melo Beirão, Angelina Meireles & Natália Ferreira

  2. Instituto de Ciências Biomédicas Abel Salazar, Universidade do Porto, Porto, Portugal

    Bernardete Pessoa, João Melo Beirão & Angelina Meireles

Authors
  1. João Heitor Marques
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  2. Catarina Castro
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  3. Luísa Malheiro
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  4. Nuno Alves Correia
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  5. Bernardete Pessoa
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  6. João Melo Beirão
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  7. Angelina Meireles
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  8. Natália Ferreira
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Contributions

All the authors had full access to all the data in this case report and take full responsibility for the integrity of the data and the accuracy of the data analysis. The first three and the last author were responsible for conceiving this research, gathering the data, presenting the results and creating the manuscript. The last five authors are vitreoretinal surgeons, four of them responsible for the included patients. Moreover, they supervised this project and contributed with their expertise to its conclusion.

Corresponding author

Correspondence to João Heitor Marques.

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Conflict of interest

There is no financial disclosure regarding any of the authors.

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Nonapplicable due to the retrospective design.

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Nonapplicable due to the retrospective design.

Ethics approval

The current study was performed in accordance with the Declaration of Helsinki.

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Marques, J.H., Castro, C., Malheiro, L. et al. Dealing with rhegmatogenous retinal detachment in patients under 40 years old: a tertiary center results. Int Ophthalmol 41, 475–482 (2021). https://doi.org/10.1007/s10792-020-01597-w

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  • DOI: https://doi.org/10.1007/s10792-020-01597-w

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