Presentations & factors affecting outcome of rhegmatogenous retinal detachment with choroidal detachment – An Indo-Taiwanese study

Abstract Objective To report the clinical settings, management and factors associated with outcomes of rhegmatogenous retinal detachment with concurrent choroidal detachment (RRDCD) Methods Retrospective, consecutive, multicenter case series from January 2014 to January 2021 were included. Cases were from a tertiary eye care center in India and Taiwan. Results Overall 303 eyes were included. Mean age was 43.72±20.64 years (median 46). Best-corrected presenting visual acuity was 1.79±0.92 logMAR (median 2.10) (Snellen 20/1233). Forty-four patients (17.91%) received pre-operative steroids. Final visual acuity was 1.33±0.94 logMAR (median 1.10) (Snellen 20/427). Favorable anatomic outcome was seen in 200/303 (66%) while favorable functional outcome was seen in 128/303 (42.20%). Factors predicting favorable anatomic outcome were absence of phakic lens status (OR 2.76) absence of PVR worse than grade A (OR 7.69), use of pre-operative steroids (OR 4.50) and use of an encircling band (3.85). Factors predicting favorable functional outcome were better presenting visual acuity (OR 3.03), absence of phakic lens status (OR 4.93), absence of PVR worse than grade A (OR 10.41) and use of pre-operative steroids (OR 7.24). Conclusions Administration of pre-operative steroids, use of an encircling band during surgery and pseudophakic status of the eye were found to have better outcomes in RRDCD.