Observational studyGraefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie2025
Clinical characteristics of rhegmatogenous retinal detachment in patients over 90 years in a tertiary center in Germany: 90-TOSG report 2.
Observational study in Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aims to investigate the clinical characteristics of rhegmatogenous retinal detachment (RRD) in patients aged over 90 years, a demographic that has been underrepresented in previous research.
methodRetrospective, single-center, observational case series. The study included patients over 90 years old, excluding those with significant ocular trauma or other specific eye diseases affecting the retina. Data on demographic characteristics, RRD extent, surgical interventions, and postoperative outcomes were collected and analyzed.
resultsThe study included 24 patients (24 eyes, 75% female) where the median age was 93 years (range: 91-98). Most patients displayed macular involvement, and about one-third experienced proliferative vitreoretinopathy. Surgical interventions primarily involved pars plana vitrectomy, with a noted delay from symptom onset to surgery averaging ten days. Postoperative improvements in visual acuity were significant, yet the final visual acuity remained low. Baseline median BCVA was 2.30 logMAR, and 1.0 (0.30-2.30) log MAR at the last visit (p = 0.017). RRD was in 52% of the eyes over two quadrants, in 83.3% with macula involvement, and in 37.5% with proliferative vitreoretinopathy (PVR) at baseline. Of these patients, 61.9% were pseudophakic. Twenty-one eyes of 21 patients underwent treatment and postoperative follow-up was available in 47.6% (n = 10) of the patients. Four of the 10 patients with follow-up had redetachment at the last visit.
conclusionThe high rate of macular involvement and the complexities associated with PVR highlight the challenges of treating RRD in the elderly. Delayed hospital presentation, impaired adherence to posturing and low postoperative follow-up rates may significantly impact the treatment success. This study underscores the need for tailored management strategies to improve outcomes in this age group. KEY MESSAGES: What is known An increase in retinal detachments has occurred mainly due to earlier lens surgery in the younger age group but will also occur in the old-aged group as a result of demographic changes. What is new Elderly patients show variable symptoms of retinal detachments and management is complicated by frequent ocular and systemic comorbidities. The clinical characteristics of detachments at age over 90 years include proliferative vitreoretinopathy and late presentation. Like vitreoretinal surgery at the end of life, the decision to operate presents a particular challenge.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.