What made you wait so long? Delays in presentation of retinal detachment: knowledge is related to an attached macula (original) (raw)

“…As previous studies have shown, worse patient education and comprehension of retinal detachment symptoms and morbidity correlates to delayed presentation. 17 , 18 Patients established with a retina practice may be more educated on the signs, symptoms, and morbidity of retinal detachments. Moreover, particularly in the setting of limited outpatient healthcare availability, established patients may also face fewer logistical barriers to evaluation upon symptom onset, tilting the patient’s risk-benefit analysis towards a lower threshold for presentation.…”

Section: Discussionmentioning

“…As previous studies have shown, worse patient education and comprehension of retinal detachment symptoms and morbidity correlates to delayed presentation. 17 , 18 Patients established with a retina practice may be more educated on the signs, symptoms, and morbidity of retinal detachments. Moreover, particularly in the setting of limited outpatient healthcare availability, established patients may also face fewer logistical barriers to evaluation upon symptom onset, tilting the patient’s risk-benefit analysis towards a lower threshold for presentation.…”

Section: Discussionmentioning

“…From a larger study on delays of presentation of retinal detachment (Eijk et al 2016), we tried to develop a selection of questions believed to help pinpoint the moment the macula came off.…”

Section: Referencesmentioning

“…Rhegmatogenous retinal detachment (RRD) is defined as a separation of the neurosensory retina from the retinal pigment epithelium (RPE), which is caused by at least one retinal break with subsequent shift of intraocular fluid into the subretinal space. When the macula is involved (macula-off), patients usually complain of a significant visual loss (Eijk et al 2016). Surgical techniques to treat this condition can be different, but nowadays the first choice is often represented by PPV, especially in pseudophakic patients and if multiple breaks or significant vitreous traction is present (Heimann et al 2007;Miller et al 2008;Kobashi et al 2014;Hajari 2016;Poulsen et al 2016).…”

Section: Introductionmentioning