Spontaneous reattachment of rhegmatogenous retinal detachment:about 5 cases.

Abstract

Introduction: Spontaneous retinal reattachment is very rare in the natural evolution of rhegmatogenous retinal detachment and it is often undervalued. The aim of this study is to report some cases of this affection.
Methods: A retrospective study was conducted reporting five eyes of five patients who presented for acute visual loss in relation with a confirmed rhegmatogenous retinal detachment. Surgical care was delayed because of bacterial or viral conjunctivitis. Following this delay, the preoperative examination rapported a spontaneous retinal reattachment. Each patient underwent Laser exclusion of the dehiscence and a regular follow up: clinical examination and OCT.
Results:The incidence of spontaneous retinal reattachment is 3.2% among examined and treated rhegmatogenous retinal detachments in our department during this period. The age of our patients ranged between 20 and 67 years. Retinal detachment was subtotal in all cases. Retinal break was unique in four cases and mostly located in the superior retina. Proliferative vitreoretinopathy was low graded in all cases (A and B).
Conclusion:The diagnosis of spontaneous reattachment DRR was often carried out retrospectively on the basis offundus evocative examination signs. According to many authors, it is more observed in myopic eye and if detachment is inferior. In our series, the low PVR seems to have a principal role in physiopathology