ABSTRACT Objective: To delineate the epidemiological profile of patients with rhegmatogenous retinal detachment at a reference hospital in the state of Santa Catarina, Brazil. Methods: A retrospective observational study of 381 eyes, with secondary data collection and a quali-quantitative approach during one year. Patient characteristics and details of the provided care were collected. Results: The majority of cases involved males (70.34%), aged between 50 and 69 years old, referred from external medical services. The time for ophthalmic care ranged from 2 to 30 days in most cases. The most common ophthalmic comorbidity was high myopia (14.96%), and prior ocular trauma was present in 10.76% of cases. Most eyes were phakic (66.40%), and among pseudophakic eyes, 59.54% had undergone surgery over a year ago. The primary symptom of rhegmatogenous retinal detachment was reduced visual acuity. The majority of eyes (83.2%) presented with vision between 0.2 and hand movements, with an average intraocular pressure of 12.31 ± 4.97 mmHg. Retinas were detached with macular involvement in the majority of cases (88.45%). Conclusion: Retinal detachment is a prevalent diagnosis in a reference ophthalmic emergency, and epidemiological information is essential for its proper diagnosis and management. Objective Catarina Brazil Methods 38 qualiquantitative quali quantitative collected Results 70.34%, 7034 70.34% , 70 34 (70.34%) 5 6 old services 3 14.96%, 1496 14.96% 14 96 (14.96%) 1076 10 76 10.76 66.40%, 6640 66.40% 66 40 (66.40%) 5954 59 54 59.54 ago acuity 83.2% 832 83 (83.2% 02 0 0. movements 1231 12 31 12.3 497 4 97 4.9 mmHg 88.45%. 8845 88.45% . 88 45 (88.45%) Conclusion emergency management 703 70.34 7 (70.34% 149 14.96 1 9 (14.96% 107 10.7 664 66.40 (66.40% 595 59.5 83.2 8 (83.2 123 12. 49 4. 884 88.45 (88.45% 70.3 (70.34 14.9 (14.96 10. 66.4 (66.40 59. 83. (83. 88.4 (88.45 70. (70.3 14. (14.9 66. (66.4 (83 88. (88.4 (70. (14. (66. (8 (88. (70 (14 (66 ( (88 (7 (1 (6

RESUMO Objetivo: Traçar o perfil epidemiológico de pacientes com descolamento regmatogênico de retina em um hospital de referência. Métodos: Estudo observacional retrospectivo de 381 olhos, com coleta de dados secundários e abordagem qualiquantitativa, pelo período de 1 ano. Foram coletadas características dos pacientes e do atendimento. Resultados: A maioria dos casos envolveu homens (70,34%), com idade entre 50 e 69 anos, encaminhados de serviços externos. O tempo para atendimento oftalmológico foi de 2 a 30 dias na maioria dos casos. A comorbidade oftalmológica mais comum foi a alta miopia (14,96%), e o trauma ocular prévio estava presente em 10,76% dos casos. A maioria dos olhos era fácica (66,40%), e, entre os pseudofácicos, 59,54% tinham realizado cirurgia há mais de 1 ano. O principal sintoma do descolamento regmatogênico de retina foi a redução da acuidade visual. A maioria dos olhos (83,2%) se apresentou com visão entre 0,2 e movimento de mãos, com pressão intraocular média de 12,31±4,97mmHg. As retinas encontravam-se descoladas e com acometimento macular na maioria dos casos (88,45%). Conclusão: O descolamento de retina é diagnóstico prevalente em emergência oftalmológica, e as informações epidemiológicas são essenciais para seu adequado diagnóstico e conduta. Objetivo referência Métodos 38 qualiquantitativa ano Resultados 70,34%, 7034 70,34% , 70 34 (70,34%) 5 6 anos externos 3 14,96%, 1496 14,96% 14 96 (14,96%) 1076 10 76 10,76 66,40%, 6640 66,40% 66 40 (66,40%) pseudofácicos 5954 59 54 59,54 visual 83,2% 832 83 (83,2% 02 0 0, mãos 1231497mmHg mmHg 12 31 4 97mmHg 12,31±4,97mmHg encontravamse encontravam 88,45%. 8845 88,45% . 88 45 (88,45%) Conclusão conduta 703 70,34 7 (70,34% 149 14,96 9 (14,96% 107 10,7 664 66,40 (66,40% 595 59,5 83,2 8 (83,2 884 88,45 (88,45% 70,3 (70,34 14,9 (14,96 10, 66,4 (66,40 59, 83, (83, 88,4 (88,45 70, (70,3 14, (14,9 66, (66,4 (83 88, (88,4 (70, (14, (66, (8 (88, (70 (14 (66 ( (88 (7 (1 (6

ABSTRACT Purpose: To clarify the postoperative incidence of macular edema in patients undergoing surgery to repair rhegmatogenous retinal detachment and identify the associated risk factors. Methods: In this prospective, observational study, 79 patients who underwent surgery to correct rhegmatogenous retinal detachment using pars plana vitrectomy with silicone oil injection were analyzed. Patients were followed up postoperatively at 7, 30, 90, 180, and 365 days. At each visit, optical coherence tomography was performed to assess the presence or absence of macular edema. were analyzed as possible risk factors for macular edema: age, sex, macular status (attached or detached), presence of vitreoretinal proliferation, history of previous intraocular surgery, reported time of symptoms suggestive of rhegmatogenous retinal detachment up to the date of surgery, and the surgical modality performed. Results: The 1-year macular edema prevalence rate was 26.6%. In the adjusted analysis, older patients had a higher risk of macular edema, and each 1-year increase in age increased the risk of macular edema by 6% (95% confidence interval = 1.00-1.12). The macular status, vitreoretinal proliferation, the surgical technique used, prior intraocular surgery, and the intraocular lens status were not identified as risk factors. However, the incidence of macular edema increased up to 180 days after surgery, peaking at 10.6%, and then decreased until 365 days after surgery. Conclusion: Macular edema was a common complication after surgery to treat rhegmatogenous retinal detachment, with its incidence peaking between 30 and 180 days after surgery. Age was an important risk factor for macular edema in this cohort. Purpose Methods prospective study 7 90 36 visit sex attached detached, detached , detached) proliferation Results 1year year 1 266 26 6 26.6% analysis 95% 95 (95 1.001.12. 100112 1.00 1.12 . 00 12 1.00-1.12) used However 18 106 10 10.6% Conclusion 3 cohort 9 2 26.6 (9 001 1.001.12 10011 100 1.0 112 1.1 0 1.00-1.12 10.6 26. ( 1.001.1 1001 1. 11 1.00-1.1 10. 1.001. 1.00-1. 1.001 1.00-1 1.00-