Afzal Qadir, Umer Khan, Lal Mohammad, Muhammad Kashif Kamran.
Morphological Appearance of Retinal Breaks associated with or without Rhegmatogenous Retinal Detachments presenting in Ophthalmology Department of Hayatabad Medical Complex, Peshawar.
Ophthalmol Update Jan ;12(3):179-81.

Objective: To evaluate the morphological appearance of retinal breaks associated with or without rhegmatogenous retinal detachments in our population. Material and Method: This observational study was conducted at the teaching hospital Khyber institute of Ophthalmic Medical Sciences Hayatabad Medical Complex, Peshawar Khyber Pakhtoonkhwha from January 2012 to December 2012. A total number of 227 eyes were diagnosed as retinal breaks with or without rhegmatogenous retinal detachments. Retinal diagrams were drawn in all these cases. Detail history of ocular and systemic diseases, age, gender, and duration of symptoms were noted. Detailed ocular and systemic examinations were performed, anterior and posterior segment with direct and indirect ophthalmoscope. To record the type, size, location and number of breaks, visual acuity, intraocular pressure, refraction, predisposing factors was recorded. Results: The most common type of breaks was horse shoe shape tears with vitreous traction (52.0%) followed by retinal holes (25.0%), dialysis (15.0%) and giant retinal tears (05.0%) of cases were observed. The most commonly located tear was superior-temporal in (65.0%) of cases, followed by superior-nasal in (20.0%) of the eyes. Age ranges from 20 to 80 years. 80.0% of the cases were male. Bilateral rhegmatogenous retinal detachments were observed only with 2.0% of cases. No other identifiable risk factor for retinal detachment was found in 25% of cases. Conclusion: The horse shoe shape tears and retinal holes were the most common types of retinal breaks in our setup and the common location of the break was superior-temporal. This will help us in the management of vitreo-retinal surgery.

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