Rhegmatogenous Retinal Detachment - Macula Off Eye Diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Age 30-90 years old 2. Primary macula-off rhegmatogenous retinal detachment with a maximum 2 weeks (14 days) of central vision loss at presentation 3. Rhegmatogenous retinal detachment not suitable for pneumatic retinopexy alone without vitrectomy because of extension, multiple tears, inferior localization or multiple lattice
Exclusion criteria
Exclusion criteria: 1. Proliferative vitreoretinopathy grade B or C 2. Tractional or serous detachments 3. Presence of other ophthalmological diseases that have an effect on visual acuity (potential confounders): terminal glaucoma, neuropathy, history of posterior uveitis, previous macular pathology 4. Macula-split retinal detachments 5. Patients not able to maintain postoperative positioning 6. Patients who present with a central vision loss of more than 2 weeks (14 days)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual acuity measured using ETDRS letters at 3 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Macular reattachment rate measured by the proportion of macular reattachment in both groups at 3 months 2. Presence of new tears measured using proportion of patients with new tears at 3 months 3. New or progression of proliferative vitreoretinopathy measured using rate of PVR developing or progression (using standard PVR grading) at 3 months. 4. Accordance of tamponade selection using accordance ratio of preoperative assessments and actual tamponade use at time of surgery. 6. Retinal displacement rate measured in proportion at 3 month 7. Number of total surgeries needed at 3 months | — |
Countries
Canada