Đánh Giá Tổn Thương Võng Mạc Chu Biên: Nghiên Cứu Lâm Sàng

Primary retinal detachment (PRD) represents a severe ophthalmic emergency that, if not addressed promptly, can lead to significant vision loss and even blindness. While successful treatment for the affected eye is crucial, the contralateral eye often harbors a considerable and underappreciated risk of developing its own PRD. Comprehensive assessment and early intervention for peripheral retinal degenerations in the fellow eye are therefore paramount. This proactive approach is essential for preventing future retinal detachment, preserving long-term visual acuity, and ultimately enhancing the overall quality of life for patients.

Ophthalmologists, retina specialists, opticians, medical students, and general practitioners involved in eye care.

This clinical case report highlights the critical importance of comprehensively evaluating the fellow eye in patients diagnosed with primary retinal detachment, a condition posing a severe threat to vision. Given the established higher risk (approximately 10%) of developing retinal detachment in the contralateral eye, often within two years, a thorough examination is indispensable. The study presents three case examples where patients, initially presenting with unilateral PRD, were found to have high-risk peripheral retinal degenerations in their asymptomatic fellow eyes. These degenerations, such as horseshoe tears, lattice degeneration, and snail-track degeneration, were often diverse, prevalent, and in some cases, symmetrical to the affected eye's pathology. Timely detection through systematic screening and subsequent prophylactic laser photocoagulation was successfully applied in these cases. The findings underscore that effective management of retinal detachment extends beyond the primary affected eye, advocating for a holistic approach that includes regular, detailed examinations and appropriate prophylactic interventions for the fellow eye. This strategy is vital for mitigating the risk of future retinal detachment, preserving long-term visual function, and significantly improving the patient's quality of life, even though further randomized controlled trials are encouraged to solidify the efficacy of prophylactic treatments.