Purpose: To evaluate the incidence, characteristics and outcomes of retinal detachment (RD) surgical repairs performed at a tertiary centre over 12-months. Methods: A 12-month retrospective study on all vitreoretinal surgeries performed at the Princess Alexandra Hospital, Brisbane, Australia. RD repairs were identified via chart review. Age, gender, acuity, macula status, presenting best-corrected visual acuity (BCVA), surgical timing and type were collected. Outcomes measured were: BCVA at 1-, 6-, and 12-months post-repair, logMAR gained, re-detachment rates. Results: Of 526 vitreoretinal surgeries performed, 154 were RD repairs. 73 of patients were aged 50-79; 66 were male. Eyes were pseudophakic in 66. 58 were macula-off RDs. Seventy percent presented within four weeks of symptom onset. 75 of macula-on RD repairs occurred within 48-hours; 74 of macula-off RDs were repaired within seven days. Vitrectomy alone was most common (73), followed by scleral buckle (17) and combined vitrectomy-buckle (10). Nineteen rhegmatogenous RDs re-detached within 12-months. Mean 1.2 logMAR was gained for acute macula-off RDs versus 0.8 for chronic. 71 with presenting BCVA >6/12 retained this level at 12-months, compared to 22 of those presenting with BCVA <6/60. Less logMAR were gained in macula-off RD repairs performed more than one-week after presentation, opposed to within 48-hours, but no difference by surgery type. Conclusion: The majority of patients presenting with RD were males between 50- and 79-years. Most RDs were macula-off and presented within 4-weeks of symptom onset. Greater improvement in BCVA was achieved in acute RDs and those repaired within seven days, with no difference by type of surgery.
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