Characteristics of spontaneous reattachment of rhegmatogenous retinal detachment: optical coherence tomography features and follow-up outcomes.
PURPOSE
To investigate the clinical features of spontaneous reattachment of rhegmatogenous retinal detachment (SRRRD) with diffuse retinal pigmentary changes.


METHODS
This retrospective study included patients diagnosed with SRRRD. The diagnosis of SRRRD was made based on characteristic fundus findings, such as diffuse retinal pigmentary clumpings, retinal pigmentary atrophy, and convex lesion margins. The clinical features of SRRRD were also evaluated. In addition, optical coherence tomography (OCT) images and follow-up data were analyzed.


RESULTS
Twenty patients were included in the study. All the patients showed unilateral involvement. SRRRD predominantly involved the inferior or temporal retina (90.0%). On OCT, severe disruption of the outer retinal layers was noted in the region of SRRRD. A subretinal gliosis band was noted in 11 patients (55.0%), and an epiretinal membrane (ERM) was noted in nine patients (45.0%). In 18 patients, a mean follow-up of 24.9 ± 29.2 months was performed. During the follow-up period, no definite retinal changes were noted on fundus examination or OCT.


CONCLUSIONS
SRRRD usually involves the inferior or temporal retina. Although severe disruption of the retinal microstructure is noted in the involved region, the condition is likely to be stable. However, long-term follow-up is required to identify progression of the ERM.
['Kim|Jae Hui|JH|http://orcid.org/0000-0001-8121-6353', 'Kim|Jong Woo|JW|', 'Kim|Chul Gu|CG|']
D005500:Follow-Up Studies D006801:Humans D012163:Retinal Detachment D012189:Retrospective Studies D041623:Tomography, Optical Coherence D014792:Visual Acuity
Spontaneous reattachment Rhegmatogenous retinal detachment Subretinal gliosis Epiretinal membrane Spontaneous resolution