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Clinical presentations and outcomes of rhegmatogenous retinal detachment in retinitis pigmentosa

Session Details

Session Title: Vitreoretinal Surgery IV

Session Date/Time: Sunday 20/09/2015 | 09:00-10:30

Paper Time: 09:16

Venue: Thalie.

First Author: : V.Dave INDIA

Co Author(s): :    A. Nayaka   S. Pathengay           

Abstract Details

PURPOSE:To describe the clinical presentations and outcomes of rhegmatogenous retinal detachments (RRD) in eyes with retinitis pigmentosa


A tertiary eye care institute in South India


A retrospective review of all cases of retinitis pigmentosa with RRD from January 1990 to December 2013


Out of total 28,622 cases of retinitis pigmentosa, 17 eyes of 17 patients had RRD. Mean age at presentation was 34.53±16.42 years (median 32 years). Median duration of decreased vision attributed to RRD was 6 months.13 eyes (76%) had inferior retinal detachment. 9 eyes (53%) had lattice with holes and 8 eyes (47%) had atrophic holes. Significantly there were no horse shoe tears, giant retinal tears, dialysis and macular holes related RRD. 82% of the breaks were in the inferotemporal quadrant. Only 3 eyes (18%) eyes had PVR at presentation. 12 eyes at presentation had BCVA < 20/200 and six eyes had only light perception vision. Mean pre operative visual acuity was 1.4±0.88 logMAR (median 1.3, range 3 - 0.1)(20/502). 6 eyes (35% cases) did not undergo surgery, 5 eyes (30%) underwent scleral buckling and 6 eyes (35%) underwent vitrectomy. Median follow up was 5 months. Reattachment rate at last follow up was 91%. Mean post operative BCVA recorded was 1.06±0.8 (median 1, range 3 - 0.1)(20/229)(p=0.15). Eight eyes at last visit had BCVA < 20/200. Post surgery 4 improved, 7 had status quo vision.


The incidence of RRD in retinitis pigmentosa is very low. Presentation though delayed, is at a younger age. Horse shoe tears and PVR are uncommon; cataract is a common co existing pathology. Surgical reattachment rates appear high and recurrent RRD is uncommon. However, visual gain is limited by the underlying retinal degenerative condition

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