Monitoring
Follow-up requirements depend on the diagnosis and treatment; guidelines report recommended follow-up intervals for asymptomatic, symptomatic, acute symptomatic, and traumatic lesions.[17] Consult local guidance.
Observation alone may suffice for patients with asymptomatic, small, and nonprogressive degeneration (e.g., lattice).[17] Consider prophylactic therapy in all other cases based on the condition and history of both eyes. Treatment is more likely to be necessary in patients with risk factors.[17]
After surgery, follow up patients with regular retinal exams, visual field assessments, and intraocular pressure measurements.
If the intraocular pressure remains normal several days after gas implantation, it typically does not require further monitoring. The use of silicone oil during vitrectomy requires intraocular pressure monitoring until its removal.
If vitreous hemorrhage occurs in the operated or high-risk fellow eye, it is reasonable to assume retinal break as the causative factor and to monitor closely with ultrasonography or to perform surgery early.[43] This is a poor prognostic factor.[77]
Depending on the etiology of a nonrhegmatogenous retinal detachment, monitor the underlying disease or condition to reduce the risk of recurrence.
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