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    How to optimally treat rhegmatogenous retinal detachment


    They noted a significant increase in the number of cases with RRD during the study period, and attributed it to an increase in cataract surgeries.

    Out of 7,941 patients with primary RRD on one eye and no other previous eye disease, 471 developed an additional RRD in the fellow eye, for an overall incidence of 1.3 % per year. They identified male gender, surgery on the lens, and young age as significant risk factors (P < 0.0001).

    From this finding, they determined that patients with RRD in the first eye have a 100 times greater risk of developing an RRD in the second eye compared to people without RRD.

    Since RRD is a rare disease, treatment can be centralized, the researchers argued.

    Based on this finding, they recommended that patients with RRD in the first eye be monitored regularly for at least 10 years.

    They also recommended that middle-aged male patients should be monitored closely and be made aware of the large risk of bilateral RRD.

    Ideally, clinicians would prevent RRD rather than treating it. Previous studies have found some risk factors for the condition.

    Still, screening poses a challenge, the researchers reported. Most patients do not know symptoms, and flashes and floaters do not necessarily indicate retinal tears or detachments, Dr. Hajari reported.

    New imaging modalities enable wide-field examination of the fundus, making it possible to screen for the condition to some extent, but it is not clear how effective this approach might be, he concluded.

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