Jean Francois Le Rouic, Anne Barrucand, Sandra Delaunay, Sophie Dupouy, Idriss Badat, Frank Becquet, France

Most rhegmatogenous retinal detachments (RD) are due to retinal tears secondary to posterior vitreous detachment and occur after the age of 50. RD in young patients has been extensively studied in pediatric population. However, little is known on RD occurring in young adults. We conducted a retrospective descriptive study on a consecutive series of patients aged between 18 and 40 to emphasize the characteristics and the outcome of RD in young adults who were operated for RRD in a single center.

Retrospective analysis of the charts of patients aged between 18 and 40 years operated for a primary RRD in a French institution with a minimal follow-up of 6 months.

The study group included 109 eyes of 103 patients. 60 were female (55%). Myopia of -6 diopters or more was found in 42 (45%) eyes out of 94 with an available preoperative refraction. Ninety-five eyes (87%) were phakic. RRD was limited to 2 quadrants or less in 95 eyes (87%). Preoperative visual acuity was 20/40 or better in 70 eyes (64%). RRD was due to a retinal hole in 55 eyes (50%). Retinal dialysis was noted in 13 eyes (12%). A history of eye trauma was found in 16 eyes (15%). Pediatric cataract surgery was noted in 11 eyes (10%). Primary and final reattachment rate were respectively 81% and 98%. Ab externo approach was performed in 85 eyes (78%). After a median follow-up of 22 months, visual acuity was 20/40 or better in 85 eyes (78%).

Most RRD occurring in young adults were not due to spontaneous posterior vitreous detachment. Retinal holes were common. The overall anatomic and functional outcomes were good.

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Jean-François Le Rouic
Ophthalmology Department; Clinique Jules Verne
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