key: cord-0881734-0tbk1rmk
authors: Anguita, Rodrigo; Ting, Magdalene Yin Lin; Makuloluwa, Achini; Charteris, David G.
title: Causal factors for late presentation of retinal detachment
date: 2022-05-25
journal: Eye (Lond)
DOI: 10.1038/s41433-022-02109-z
sha: ac1f5bbe9bee9c9f601052043a810827876545fa
doc_id: 881734
cord_uid: 0tbk1rmk

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We identified 79 patients-50 (63%) male and 29 (34%) female. The average age was 60 years (SD 16, range 18-99): The mean onset of central visual loss was 13 weeks (SD 16, range 4-112). Within the total cohort, we were able to contact 58 patients and all agreed to answer the survey.

The results of the survey are summarised in Table 1 . Overall, in the question N°1 90% of patients attributed their symptoms to no serious problem. 81% of patients had never heard about RRD and all (100%) thought that knowing about RRD and its presenting symptoms would have helped them to attend earlier, 83% of patients who answered the question N°4 declared that COVID-19 influenced the delay of their presentation.

We previously noted that LPRD does not appear to be related with socioeconomic or educational status [4] . Although cases can be treated with good anatomical results, there is a high incidence of proliferative vitreoretinopathy (PVR) and visual outcomes are often less favourable. In addition, there is an increase in cost to patients and healthcare systems [2, 4] .

Although the UK has a comprehensive vitreoretinal service, free at the point of access the continued occurrence of LPRD and the underlying reasons for this demonstrate the need for further education of the public on the symptoms of RRD and the need for prompt assessment. Ophthalmologists and in particular vitreoretinal surgeons should play a leading role in this process. 

The epidemiology and socioeconomic associations of retinal detachment in Scotland: a twoyear prospective population-based study

Resources involved in managing retinal detachment complicated by proliferative vitreoretinopathy

Late presentation of retinal detachment in India: a comparison between developing nations

Late presentation of retinal detachment

RA and DGC conceived and designed the research. RA, MYT and AM collected the data. MYT performed the survey. RA, AM and DGC analysed and interpreted the data. RA drafted the manuscript. RA, MYT, AM and DGC made critical revision of the manuscript

The research was supported by the NIHR Biomedical Research Centre at Moorfields Eye Hospital NHS Foundation Trust and UCL Institute of Ophthalmology and the NIHR Moorfields Clinical Research Facility. The views expressed are those of the author(s) and not necessarily those of the NHS, the NIHR or the Department of Health.

The data used to support the findings of this study are included within the article.

The authors declare no competing interests.

Correspondence and requests for materials should be addressed to Rodrigo Anguita.Reprints and permission information is available at http://www.nature.com/ reprintsPublisher's note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.