Novel Classification System for Management of Rhegmatogenous Retinal Detachment
Article Name: Novel classification system for management of rhegmatogenous retinal detachment with minimally invasive detachment surgery: a network meta-analysis of randomized trials focused on patient-centred outcomes.
Rhegmatogenous retinal detachments (RRD) are a common surgical ocular emergency. This type of retinal detachment occurs when a hole or tear in the retina allows fluid to pass through and detach the retina from underlying structures resulting in vision loss. Currently, there are a variety of approaches that aim to reattach the retina including scleral buckle, vitrectomy, and pneumatic retinopexy. However, there is no consensus on the best surgical approach or when to use which method.
The authors in this study performed a systematic review and meta-analysis to develop a new classification system for RRD to optimize functional outcomes and provide a standardized categorization of RRD for use in future studies. Outcomes considered were best corrected visual acuity, metamorphopsia, visual recovery, invasiveness, and operative complications. They classified RRD into three categories, defined by anatomic location and morphology (see article for figure and details). Their review of the literature demonstrated that there may be benefits from certain types of intervention over another based on the RRD category. The authors hope this classification system will provide a framework for future RCTs to develop personalized evidence-based recommendations for treatment which maximize functional outcomes for patients.
Muni, R. H., Minaker, S. A., Mason, R. H., Popovic, M. M., Kertes, P. J., & Hillier, R. J. (2021). Novel classification system for management of rhegmatogenous retinal detachment with minimally invasive detachment surgery: a network meta-analysis of randomized trials focused on patient-centred outcomes. Canadian Journal of Ophthalmology. https://doi.org/10.1016/j.jcjo.2021.10.002
Date Published: November 16, 2021
Summary by: Desiree Naude