gms | German Medical Science

25th Annual Meeting of the German Retina Society

German Retina Society

01.06. - 02.06.2012, Münster

Progression of macular-on rhegmatogenous retinal detachment

Meeting Abstract

  • Eva Lahme - Universitäts-Augenklinik Göttingen
  • H. Kroll - Universitäts-Augenklinik Göttingen
  • U. Ritzau-Tondrow - Universitäts-Augenklinik Göttingen
  • H. Baraki - Universitäts-Augenklinik Göttingen
  • N. Feltgen - Universitäts-Augenklinik Göttingen
  • H. Hoerauf - Universitäts-Augenklinik Göttingen

German Retina Society. 25th Annual Conference of the German Retina Society. Münster, 01.-02.06.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. Doc12rg69

doi: 10.3205/12rg69, urn:nbn:de:0183-12rg697

This is the translated version of the article.
The original version can be found at:

Published: May 30, 2012

© 2012 Lahme et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.



Background: Retinal detachment reported without macular involvment is a retinological emergency. It is known that the rate of intraoperative complications increases beyond regular schedule care. The aim of this prospective case series is to analyze retinal situations in which surgery can be scheduled.

Method: All patients with primary rhegmatogenous retinal detachment without macular involvement between June 2011 and February 2012 were included. A detailed fundus drawing and OCT of the macula was made on admission and directly prior to surgery to determine the progression. The following data were collected: BCVA, duration of symptoms, configuration and extent of retinal detachment, localisation of retinal tears. Patients with primary PVR and ocular trauma history were excluded.

Results: 60 patients with primary rhegmatogenous retinal detachment without macular involvement were included. The mean interval from admission to surgery was 1.7 days (range 1–4 days). The most common reasons were general diseases and anticoagulation. In 5 patients retinal detachment progressed and involved the macula. In these cases a bullous retinal detachment of the upper quadrants with one larger or several smaller horseshoe tears was present.

Conclusion: Rhegmatogenous retinal detachment is still an emergency in patients with bullous configuration in the upper quadrants. It seems that under frequent funduscopic control surgery can be scheduled to the regular service in the most configurations of retinal detachment.