Close
New

Medscape is available in 5 Language Editions – Choose your Edition here.

 

Rhegmatogenous Retinal Detachment Differential Diagnoses

  • Author: Lihteh Wu, MD; Chief Editor: Hampton Roy, Sr, MD  more...
 
Updated: Sep 29, 2015
 
 
 
Contributor Information and Disclosures
Author

Lihteh Wu, MD Asociados de Macula Vitreo y Retina de Costa Rica

Lihteh Wu, MD is a member of the following medical societies: American Academy of Ophthalmology, American Society of Retina Specialists, Association for Research in Vision and Ophthalmology, Club Jules Gonin, Macula Society, Pan-American Association of Ophthalmology, Retina Society

Disclosure: Received income in an amount equal to or greater than $250 from: Bayer Health; Quantel Medical; Heidelberg Engineering.

Specialty Editor Board

Simon K Law, MD, PharmD Clinical Professor of Health Sciences, Department of Ophthalmology, Jules Stein Eye Institute, University of California, Los Angeles, David Geffen School of Medicine

Simon K Law, MD, PharmD is a member of the following medical societies: American Academy of Ophthalmology, Association for Research in Vision and Ophthalmology, American Glaucoma Society

Disclosure: Nothing to disclose.

Steve Charles, MD Director of Charles Retina Institute; Clinical Professor, Department of Ophthalmology, University of Tennessee College of Medicine

Steve Charles, MD is a member of the following medical societies: American Academy of Ophthalmology, American Society of Retina Specialists, Macula Society, Retina Society, Club Jules Gonin

Disclosure: Received royalty and consulting fees for: Alcon Laboratories.

Chief Editor

Hampton Roy, Sr, MD Associate Clinical Professor, Department of Ophthalmology, University of Arkansas for Medical Sciences

Hampton Roy, Sr, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, Pan-American Association of Ophthalmology

Disclosure: Nothing to disclose.

Additional Contributors

V Al Pakalnis, MD, PhD Professor of Ophthalmology, University of South Carolina School of Medicine; Chief of Ophthalmology, Dorn Veterans Affairs Medical Center

V Al Pakalnis, MD, PhD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, South Carolina Medical Association

Disclosure: Nothing to disclose.

Acknowledgements

Teodoro Evans, MD Consulting Surgeon, Vitreo-Retinal Section, Clinica de Ojos, Costa Rica

Disclosure: Nothing to disclose.

References
  1. Haimann MH, Burton TC, Brown CK. Epidemiology of retinal detachment. Arch Ophthalmol. 1982 Feb. 100(2):289-92. [Medline].

  2. Wilkes SR, Beard CM, Kurland LT, Robertson DM, O'Fallon WM. The incidence of retinal detachment in Rochester, Minnesota, 1970-1978. Am J Ophthalmol. 1982 Nov. 94(5):670-3. [Medline].

  3. Laatikainen L, Tolppanen EM, Harju H. Epidemiology of rhegmatogenous retinal detachment in a Finnish population. Acta Ophthalmol (Copenh). 1985 Feb. 63(1):59-64. [Medline].

  4. Tornquist R, Stenkula S, Tornquist P. Retinal detachment. A study of a population-based patient material in Sweden 1971-1981. I. Epidemiology. Acta Ophthalmol (Copenh). 1987 Apr. 65(2):213-22. [Medline].

  5. Sasaki K, Ideta H, Yonemoto J, Tanaka S, Hirose A, Oka C. Epidemiologic characteristics of rhegmatogenous retinal detachment in Kumamoto, Japan. Graefes Arch Clin Exp Ophthalmol. 1995 Dec. 233(12):772-6. [Medline].

  6. Wong TY, Tielsch JM, Schein OD. Racial difference in the incidence of retinal detachment in Singapore. Arch Ophthalmol. 1999 Mar. 117(3):379-83. [Medline].

  7. Van de Put MA, Hooymans JM, Los LI,. Dutch Rhegmatogenous Retinal Detachment Study Group. The incidence of rhegmatogenous retinal detachment in the Netherlands. Ophthalmology. 2013. 120:616-622.

  8. Hajari JN, Bjerrum SS, Christensen U, Kiilgaard JF, Bek T, la Cour M. A nationwide study on the incidence of rhegmatogenous retinal detachment in Denmark, with emphasis on the risk of the fellow eye. Retina. 2014 Aug. 34 (8):1658-65. [Medline].

  9. Adelman RA, Parnes AJ, Michalewska Z, Ducournau D, European Vitreo-Retinal Society (EVRS) Retinal Detachment Study Group. Clinical variables associated with failure of retinal detachment repair: the European vitreo-retinal society retinal detachment study report number 4. Ophthalmology. 2014 Sep. 121 (9):1715-9. [Medline].

  10. Wolfensberger TJ, Gonvers M. Optical coherence tomography in the evaluation of incomplete visual acuity recovery after macula-off retinal detachments. Graefes Arch Clin Exp Ophthalmol. 2002 Feb. 240(2):85-9. [Medline].

  11. dell'Omo R, Viggiano D, Giorgio D, Filippelli M, Di Iorio R, Calo' R, et al. Restoration of foveal thickness and architecture after macula-off retinal detachment repair. Invest Ophthalmol Vis Sci. 2015 Jan 22. 56 (2):1040-50. [Medline].

  12. Custodis E. Beobachtungen bei der diathermischen Behandlung der Netzhautablosung und ein Minweis zur Therapie der Amotio retinae. Ber Dtsch Ophthalmol Ges. 1952. 57:227.

  13. Lincoff HA, Baras I, McLean JM. Modification to the Custodis procedure for retinal detachment. Arch Ophthalmol. 1965. 73:160-3.

  14. Schepens CL, Okamura ID, Brockhurst RJ. The scleral buckling procedures. I. Surgical techniques and management. Arch Ophthalmol. 1957. 58:797.

  15. Chignell AH. Retinal detachment surgery without drainage of subretinal fluid. Am J Ophthalmol. 1974 Jan. 77(1):1-5. [Medline].

  16. Lincoff H, Kreissig I. The treatment of retinal detachment without drainage of subretinal fluid. (Modifications of the Custodis procedure. VI). Trans Am Acad Ophthalmol Otolaryngol. 1972 Sep-Oct. 76(5):1121-33. [Medline].

  17. Weng CY, Gregori NZ, Moysidis SN, Shi W, Smiddy WE, Flynn HW Jr. Visual and anatomical outcomes of macular epiretinal membrane peeling after previous rhegmatogenous retinal detachment repair. Retina. 2015 Jan. 35 (1):125-35. [Medline].

  18. Wolfensberger TJ. Foveal reattachment after macula-off retinal detachment occurs faster after vitrectomy than after buckle surgery. Ophthalmology. 2004 Jul. 111(7):1340-3. [Medline].

  19. Itakura H, Kishi S. Intravitreal injection of 0.3 ml of SF6 gas for persistent subfoveal fluid after scleral buckling for rhegmatogenous retinal detachment. Graefes Arch Clin Exp Ophthalmol. 2009 Aug. 247(8):1147-50. [Medline].

  20. Jackson TL, Kwan AS, Laidlaw AH, Aylward W. Identification of retinal breaks using subretinal trypan blue injection. Ophthalmology. 2007 Mar. 114(3):587-90. [Medline].

  21. Escoffery RF, Olk RJ, Grand MG, Boniuk I. Vitrectomy without scleral buckling for primary rhegmatogenous retinal detachment. Am J Ophthalmol. 1985 Mar 15. 99(3):275-81. [Medline].

  22. Gartry DS, Chignell AH, Franks WA, Wong D. Pars plana vitrectomy for the treatment of rhegmatogenous retinal detachment uncomplicated by advanced proliferative vitreoretinopathy. Br J Ophthalmol. 1993 Apr. 77(4):199-203. [Medline]. [Full Text].

  23. Hakin KN, Lavin MJ, Leaver PK. Primary vitrectomy for rhegmatogenous retinal detachment. Graefes Arch Clin Exp Ophthalmol. 1993 Jun. 231(6):344-6. [Medline].

  24. Oshima Y, Yamanishi S, Sawa M, Motokura M, Harino S, Emi K. Two-year follow-up study comparing primary vitrectomy with scleral buckling for macula-off rhegmatogenous retinal detachment. Jpn J Ophthalmol. 2000 Sep-Oct. 44(5):538-49. [Medline].

  25. Arya AV, Emerson JW, Engelbert M, Hagedorn CL, Adelman RA. Surgical management of pseudophakic retinal detachments: a meta-analysis. Ophthalmology. 2006 Oct. 113(10):1724-33. [Medline].

  26. Kinori M, Moisseiev E, Shoshany N, Fabian ID, Skaat A, Barak A, et al. Comparison of pars plana vitrectomy with and without scleral buckle for the repair of primary rhegmatogenous retinal detachment. Am J Ophthalmol. 2011 Aug. 152(2):291-297.e2. [Medline].

  27. Fujii GY, De Juan E Jr, Humayun MS, Chang TS, Pieramici DJ, Barnes A. Initial experience using the transconjunctival sutureless vitrectomy system for vitreoretinal surgery. Ophthalmology. 2002 Oct. 109(10):1814-20. [Medline].

  28. Fine HF, Iranmanesh R, Iturralde D, Spaide RF. Outcomes of 77 consecutive cases of 23-gauge transconjunctival vitrectomy surgery for posterior segment disease. Ophthalmology. 2007 Jun. 114(6):1197-200. [Medline].

  29. Eckardt C. Transconjunctival sutureless 23-gauge vitrectomy. Retina. 2005 Feb-Mar. 25(2):208-11. [Medline].

  30. Heimann H. [Primary 25- and 23-gauge vitrectomy in the treatment of rhegmatogenous retinal detachment--advancement of surgical technique or erroneous trend?]. Klin Monbl Augenheilkd. 2008 Nov. 225(11):947-56. [Medline].

  31. Tsang CW, Cheung BT, Lam RF, Lee GK, Yuen CY, Lai TY. Primary 23-gauge transconjunctival sutureless vitrectomy for rhegmatogenous retinal detachment. Retina. 2008 Oct. 28(8):1075-81. [Medline].

  32. Miller DM, Riemann CD, Foster RE, Petersen MR. Primary repair of retinal detachment with 25-gauge pars plana vitrectomy. Retina. 2008 Jul-Aug. 28(7):931-6. [Medline].

  33. Von Fricken MA, Kunjukunju N, Weber C, Ko G. 25-Gauge sutureless vitrectomy versus 20-gauge vitrectomy for the repair of primary rhegmatogenous retinal detachment. Retina. 2009 Apr. 29(4):444-50. [Medline].

  34. Davis MJ, Mudvari SS, Shott S, Rezaei KA. Clinical characteristics affecting the outcome of pneumatic retinopexy. Arch Ophthalmol. 2011 Feb. 129(2):163-6. [Medline].

  35. Hilton GF, Tornambe PE. Pneumatic retinopexy. An analysis of intraoperative and postoperative complications. The Retinal Detachment Study Group. Retina. 1991. 11(3):285-94. [Medline].

  36. McAllister IL, Meyers SM, Zegarra H, Gutman FA, Zakov ZN, Beck GJ. Comparison of pneumatic retinopexy with alternative surgical techniques. Ophthalmology. 1988 Jul. 95(7):877-83. [Medline].

  37. Tornambe PE, Hilton GF. Pneumatic retinopexy. A multicenter randomized controlled clinical trial comparing pneumatic retinopexy with scleral buckling. The Retinal Detachment Study Group. Ophthalmology. 1989 Jun. 96(6):772-83; discussion 784. [Medline].

  38. Tornambe PE, Hilton GF, Brinton DA, et al. Pneumatic retinopexy. A two-year follow-up study of the multicenter clinical trial comparing pneumatic retinopexy with scleral buckling. Ophthalmology. 1991 Jul. 98(7):1115-23. [Medline].

  39. Lincoff HA, Kreissig I, Hahn YS. A temporary balloon buckle for the treatment of small retinal detachments. Ophthalmology. 1979 Apr. 86(4):586-96. [Medline].

  40. Sun Q, Sun T, Xu Y, Yang XL, Xu X, Wang BS. Primary vitrectomy versus scleral buckling for the treatment of rhegmatogenous retinal detachment: a meta-analysis of randomized controlled clinical trials. Curr Eye Res. 2012 Jun. 37(6):492-9. [Medline].

  41. Soni C, Hainsworth DP, Almony A. Surgical Management of Rhegmatogenous Retinal Detachment: A Meta-Analysis of Randomized Controlled Trials. Ophthalmology. 2013 Mar 16. [Medline].

  42. Wilkinson C. Interventions for asymptomatic retinal breaks and lattice degeneration for preventing retinal detachment. Cochrane Database Syst Rev. 2005 Jan 25. CD003170. [Medline].

  43. Mitry D, Singh J, Yorston D, Siddiqui MA, Murphy AL, Wright AF. The fellow eye in retinal detachment: findings from the Scottish Retinal Detachment Study. Br J Ophthalmol. 2012 Jan. 96(1):110-3. [Medline].

  44. Ross WH, Stockl FA. Visual recovery after retinal detachment. Curr Opin Ophthalmol. 2000 Jun. 11(3):191-4. [Medline].

  45. Ricker LJ, Noordzij LJ, Goezinne F, Cals DW, Berendschot TT, Liem AT. Persistent subfoveal fluid and increased preoperative foveal thickness impair visual outcome after macula-off retinal detachment repair. Retina. 2011 Sep. 31(8):1505-12. [Medline].

  46. Henrich PB, Priglinger S, Klaessen D, Kono-Kono JO, Maier M, Schotzau A. Macula-off retinal detachment--a matter of time?. Klin Monbl Augenheilkd. 2009 Apr. 226(4):289-93. [Medline].

  47. Mowatt L, Tarin S, Nair RG, Menon J, Price NJ. Correlation of visual recovery with macular height in macula-off retinal detachments. Eye (Lond). 2010 Feb. 24(2):323-7. [Medline].

  48. Day S, Grossman DS, Mruthyunjaya P, Sloan FA, Lee PP. One-year outcomes after retinal detachment surgery among medicare beneficiaries. Am J Ophthalmol. 2010 Sep. 150(3):338-45. [Medline]. [Full Text].

  49. Gharbiya M, Grandinetti F, Scavella V, Cecere M, Esposito M, Segnalini A. Correlation between spectral-domain optical coherence tomography findings and visual outcome after primary rhegmatogenous retinal detachment repair. Retina. 2012 Jan. 32(1):43-53. [Medline].

  50. Amato JE, Akduman L. Incidence of complications in 25-gauge transconjunctival sutureless vitrectomy based on the surgical indications. Ophthalmic Surg Lasers Imaging. 2007 Mar-Apr. 38(2):100-2. [Medline].

  51. Azad RV, Chanana B, Sharma YR, Vohra R. Primary vitrectomy versus conventional retinal detachment surgery in phakic rhegmatogenous retinal detachment. Acta Ophthalmol Scand. 2007 Aug. 85(5):540-5. [Medline].

  52. Chen E. 25-Gauge transconjunctival sutureless vitrectomy. Curr Opin Ophthalmol. 2007 May. 18(3):188-93. [Medline].

  53. Chen SN, Hwang JF. Treatment of rhegmatogenous retinal detachment in teenagers by pneumatic retinopexy technique. Am J Ophthalmol. 2007 Feb. 143(2):217-221. [Medline].

  54. Christensen U, Sander B, Villumsen J. Retinal thickening after successful surgery for macula-off retinal detachment. Curr Eye Res. 2007 Jan. 32(1):65-9. [Medline].

  55. Diederen RM, La Heij EC, Kessels AG, Goezinne F, Liem AT, Hendrikse F. Scleral buckling surgery after macula-off retinal detachment: worse visual outcome after more than 6 days. Ophthalmology. 2007 Apr. 114(4):705-9. [Medline].

  56. Goldmann H. Zur Biomikroskopie des Glaskorpers. Ophthalmologica. 1954. 127:334.

  57. Lincoff HA, Mclean JM, Nano H. CRYOSURGICAL TREATMENT OF RETINAL DETACHMENT. Trans Am Acad Ophthalmol Otolaryngol. 1964 May-Jun. 68:412-32. [Medline].

  58. Rizzo S, Genovesi-Ebert F, Murri S, et al. 25-gauge, sutureless vitrectomy and standard 20-gauge pars plana vitrectomy in idiopathic epiretinal membrane surgery: a comparative pilot study. Graefes Arch Clin Exp Ophthalmol. 2006 Apr. 244(4):472-9. [Medline].

  59. Saw SM, Gazzard G, Wagle AM, Lim J, Au Eong KG. An evidence-based analysis of surgical interventions for uncomplicated rhegmatogenous retinal detachment. Acta Ophthalmol Scand. 2006 Oct. 84(5):606-12. [Medline].

  60. Schepens CL, Marden D. Data on the natural history of retinal detachment. I. Age and sex relationships. Arch Ophthalmol. 1961. 66:631.

  61. Schwartz SG, Flynn HW. Primary retinal detachment: scleral buckle or pars plana vitrectomy?. Curr Opin Ophthalmol. 2006 Jun. 17(3):245-50. [Medline].

  62. Gorovoy IR, Porco TC, Bhisitkul RB, de Juan E Jr, Schwartz DM, Stewart JM. Same-Day Versus Next-Day Repair of Fovea-Threatening Primary Rhegmatogenous Retinal Detachments. Semin Ophthalmol. 2015 Aug 21. 1-7. [Medline].

Previous
Next
 
Clinical picture of a rhegmatogenous retinal detachment involving the macula. Notice the folds just temporal to the fovea.
Clinical picture of a rhegmatogenous retinal detachment. Notice that the macula is involved and that the retina is corrugated and has a slightly opaque color.
This patient had a vitreous hemorrhage that prevented visualization of the retina. A B-scan ultrasound reveals a retinal detachment.
 
 
 
All material on this website is protected by copyright, Copyright © 1994-2016 by WebMD LLC. This website also contains material copyrighted by 3rd parties.