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Review
. 2020 Oct 9;5(1):e000474.
doi: 10.1136/bmjophth-2020-000474. eCollection 2020.

Rhegmatogenous retinal detachment: a review of current practice in diagnosis and management

Ziyaad Nabil Sultan  1 , Eleftherios I Agorogiannis  2 , Danilo Iannetta  2   3 , David Steel  4 , Teresa Sandinha  5
Affiliations
Review

Rhegmatogenous retinal detachment: a review of current practice in diagnosis and management

Ziyaad Nabil Sultan et al. BMJ Open Ophthalmol. .

Erratum in

Abstract

Rhegmatogenous retinal detachment (RRD) is a common condition with an increasing incidence, related to the ageing demographics of many populations and the rising global prevalence of myopia, both well known risk factors. Previously untreatable, RRD now achieves primary surgical success rates of over 80%-90% with complex cases also amenable to treatment. The optimal management for RRD attracts much debate with the main options of pneumatic retinopexy, scleral buckling and vitrectomy all having their proponents based on surgeon experience and preference, case mix and equipment availability. The aim of this review is to provide an overview for the non-retina specialist that will aid and inform their understanding and discussions with patients. We review the incidence and pathogenesis of RRD, present a systematic approach to diagnosis and treatment with special consideration to managing the fellow eye and summarise surgical success and visual recovery following different surgical options.

Keywords: retina; treatment surgery; vitreous.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Retinal detachment. Left eye, superior bullous retinal detachment. Reproduced with permission of Wills Eye Hospital, WillsEye.org
Figure 2
Figure 2
Lincoff Rules. Summary of ‘Lincoff Rules’ to aid the identification and position of a retinal break in RRD. RRD, rhegmatogenous retinal detachment.
Figure 3
Figure 3
Six new rules presented at BEAVRS 2018 by David Wong. Not validated. BEAVRS, British and Eire Association of Vitreoretinal Surgeons.
Figure 4
Figure 4
Scleral buckle technique. (A) Identify retinal break. (B) Expose sclera, sling rectus muscles (white arrowheads), mark break position (on sclera) then apply cryotherapy. (C) Various available buckles, including segments and encircling bands. (D) Scleral indentation apposing the break.
Figure 5
Figure 5
Pars plana vitretomy. Three ports—an infusion line, a light source and a vitrector. Reproduced with permission of PentaVision LLC, http://www.retinalphysician.com/issues/2008/jan-feb/why-(and-when)-i-prefer-25-g-vitrectomy
See this image and copyright information in PMC

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