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    How to optimally treat rhegmatogenous retinal detachment

    Surgeons may safely delay operating on rhegmatogenous retinal detachment (RRD) for a few days to accommodate their schedules, a new study suggested.

    The risk of macular detachment was only 0.7% when surgery was delayed up to 72 hours in a series patients put on strict bed rest after diagnosis, wrote Javad Nouri Hajari, MD, of the Faculty of Health and Medical Sciences, University of Copenhagen, Denmark.

    “This enables the surgery to be scheduled for the next day, where the surgeon will be better suited for conducting microsurgery because the surgeon would be rested,” he wrote.

    Dr. Hajari reported the finding in his doctoral thesis, which appears in Acta Ophthalmologica, and earlier in British Journal of Ophthalmology.

    The patients who have the best vision before surgery for RRD are the most likely to have good vision after surgery, Dr. Hajari reported.

    This is because their fovea has not yet been affected by the detachment, which begins at the periphery and works its way to the centre.

    Previous researchers have estimated that the risk of the detachment reaching the fovea ranges from 0.5%-3.7%.

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