Retinal Displacement after Pneumatic Retinopexy versus Vitrectomy for Rhegmatogenous Retinal Detachment (ALIGN)

Retinal displacement is detected by the presence of retinal vessel printings on fundus autofluorescence (FAF) imaging. 1 Shiragami C. Shiraga F. Yamaji H. et al. Unintentional displacement of the retina after standard vitrectomy for rhegmatogenous retinal detachment. Ophthalmology. 2010; 117: 86-92.e1 Google Scholar ,2 Lee E. Williamson T.H. Hysi P. et al. Macular displacement following rhegmatogenous retinal detachment repair. Br J Ophthalmol. 2013; 97: 1297-1302 Google Scholar Although a high proportion of patients achieve anatomic reattachment after rhegmatogenous retinal detachment (RRD) repair, many patients experience postoperative metamorphopsia, aniseikonia, decreased visual acuity, and poor vision-related quality of life. 3 Casswell E.J. Yorston D. Lee E. et al. Effect of face-down positioning vs support-the-break positioning after macula-involving retinal detachment repair: the PostRD Randomized Clinical Trial. JAMA Ophthalmol. 2020; 138: 634-642 Google Scholar ,4 Brosh K. Francisconi C.L.M. Qian J. et al. Retinal displacement following pneumatic retinopexy vs pars plana vitrectomy for rhegmatogenous retinal detachment. JAMA Ophthalmol. 2020; 138: 652-659 Google Scholar Retinal displacement, or a low-integrity retinal attachment, may provide an anatomic basis for suboptimal functional outcomes.