Ahmad M. · Sein J. · Wang J. · Scott A.W. · Ramroop J. · Jiramongkolchai K. · Zimmer-Galler I.E. · Handa J.T. ·
Arevalo J.F.
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Article / Publication Details
Abstract
Introductions: To determine symptom-level risk factors for retinal tear/ retinal detachment (RT/RD) in our patients presenting with symptoms of posterior vitreous detachment (PVD).
Methods: We conducted a prospective cohort study of patients presenting to outpatient ophthalmology clinics at a single academic institution with complaint(s) of flashes, floaters and/or subjective field loss (SFL). Patients received a standardized questionnaire regarding past ocular history and symptom characteristics including number, duration and timing of flashes, and floaters, prior to dilated ocular examination. Final diagnosis was categorized as RT/RD, PVD, ocular migraine, vitreous syneresis, or “other”. Simple and multivariate logistic regression were used to identify symptoms predictive of various pathologies.
Results: We recruited 237 patients (age 20 - 93 years) from 3/2018 to 3/2019. The most common diagnosis was PVD (141, 59.5%), followed by vitreous syneresis (38, 16.0%) and RT/RD (34, 14.3%). Of those with RT/RD, 16 (47.1%) had retinal tear and 15 (44.1%) had RD. Significant differences in demographic and examination-based factors were observed between these groups. Symptom-based predictive factors for RT/RD were the presence of subjective visual reduction (SVR; OR 2.77, p = 0.03) or SFL (OR 2.47, p = 0.04), and the absence of either floaters (OR 4.26, p = 0.04) or flashes (OR 2.95, p = 0.009). The number, duration and timing of flashes and floaters did not predict the presence of RT/RD in our cohort. Within the RT/RD group, patients with RT were more likely to report floaters (100% vs. 66.7%, p = 0.018) and less likely to report SFL (0% vs. 86.7%, p
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Article / Publication Details
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