The fellow eye of patients with rhegmatogenous retinal detachment

Ophthalmology. 2004 Mar;111(3):518-21. doi: 10.1016/j.ophtha.2003.06.011.


Objective: To determine how often the fellow eyes of patients with rhegmatogenous retinal detachment (RRD) without proliferative vitreoretinopathy (PVR) harbor vision-threatening conditions at presentation and during follow-up.

Design: Retrospective, observational case series.

Participants: Two hundred forty-eight patients with RRD without PVR were studied.

Intervention: The authors observed the fellow eye of patients with RRD for vision-threatening pathology.

Main outcome measure: Detection of vision-threatening pathology in the fellow eye of patients with RRD without PVR.

Results: Two hundred forty-eight patients were observed for an average of 5.2 years. One hundred fifty-seven vision-threatening events or diagnoses occurred in the fellow eye, including pre-existing and newly diagnosed conditions, 97 (62%) of which were rhegmatogenous in nature. Fifty-six patients (23%) had retinal detachments in their fellow eye, including those with a history of RRD repair (28 eyes), those presenting with bilateral RRD (4 eyes), and those developing new RRD during follow-up (24 eyes). In addition, 1 patient developed recurrent retinal detachment in the fellow eye during follow-up. Retinal tears were diagnosed and treated with laser retinopexy or cryotherapy in 30 (12%) fellow eyes (4 before the initial examination, 7 upon initial examination, and 19 on follow-up). Lattice degeneration was present in 27 (11%) fellow eyes.

Conclusions: Patients who develop RRD are at considerable risk for developing vision-threatening events, particularly rhegmatogenous events, in the fellow eye.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Child
  • Female
  • Humans
  • Male
  • Middle Aged
  • Retinal Detachment / complications*
  • Retinal Detachment / diagnosis
  • Retinal Detachment / etiology*
  • Retrospective Studies
  • Risk Factors
  • Vision Disorders / diagnosis
  • Vision Disorders / etiology*
  • Visual Acuity