A cohort of ۱۰۴۹ individuals diagnosed with rhegmatogenous retinal detachment (RRD) were monitored over a mean duration of ۵.۷ ± ۰.۳ years.

In total, a diagnosis of bilateral sequential rhegmatogenous retinal detachment (RRD) was given to 153 patients, accounting for ۱۴.۶% of the study population during the specified follow-up period. A total of 582 fellow eyes had available OCT images.

Among these, 229 fellow eyes (۳۹.۳%) exhibited posterior vitreous detachment (PVD), while 353 fellow eyes (۶۰.۷%) showed an attached hyaloid.

An RRD was observed in seven fellow eyes, accounting for ۳.۱% of cases, where a posterior vitreous detachment (PVD) was present at the time of presentation.

Among the group of eyes with an attached hyaloid, a total of 28 eyes (۷.۹%) exhibited a retinal detachment (RRD) during the course of the study. However, when specifically considering those eyes in which a posterior vitreous detachment (PVD) occurred during the follow-up period, it was observed that ۲۳.۷% of these eyes also experienced an RRD.

During the period of PVD development in the contralateral eye, it was observed that an additional 21 eyes (17.8%) exhibited a retinal tear, which was successfully managed without subsequent progression to rhegmatogenous retinal detachment (RRD).

Findings: Optical coherence tomography (OCT) imaging of the unaffected eye at the initial diagnosis of a rhegmatogenous retinal detachment (RRD) provides valuable insights into the assessment of the risk level for RRD in that eye. Patients who exhibit a fully detached posterior hyaloid are observed to have a notably reduced risk of rhegmatogenous retinal detachment (RRD) compared to those with a visible posterior hyaloid. Consequently, individuals with a visible posterior hyaloid necessitate close monitoring during the development of posterior vitreous detachment (PVD).

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