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Multiple interventions exist, including observation, laser demarcation, pneumatic retinopexy, scleral buckling, and pars plana vitrectomy, with selection influenced by patient factors, surgeon expertise, and Taiwan’s national health insurance policies. No overall optimal approach is established. The Taiwan Retina Society convened an 11-expert committee to review evidence and issue seven management recommendations, and conducted a six-question survey to characterize treatment patterns in Taiwan.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/guidelines-and-treatment-patterns-for-primary-rhegmatogenous-retinal-detachments-expert-consensus-and-survey-in-taiwan-retina-society/436049/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/guidelines-and-treatment-patterns-for-primary-rhegmatogenous-retinal-detachments-expert-consensus-and-survey-in-taiwan-retina-society/436049.png","ImageObject",300,407,{"name":92,"@type":93},"Aria","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-09-30","2026-09-29",true,{"@type":102,"interactionType":103,"userInteractionCount":14},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What defines rhegmatogenous retinal detachment and why is it urgent?","Question",{"text":112,"@type":113},"RRD is caused by one or more full-thickness retinal breaks leading to fluid entry into the subretinal space and separation of the neurosensory retina. It is considered an emergency because prompt management is crucial for prognosis.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Which treatment modalities for primary RRD are discussed?",{"text":117,"@type":113},"The article describes observation, laser demarcation, pneumatic retinopexy, scleral buckling, and pars plana vitrectomy. Their success rates vary by clinical conditions.",{"name":119,"@type":110,"acceptedAnswer":120},"How were Taiwan Retina Society recommendations and treatment-pattern data developed?",{"text":121,"@type":113},"An expert committee of 11 experienced retina specialists reviewed current evidence and produced seven recommendations for managing RRD. A separate survey with six questions was conducted in Taiwan, including input from the committee and an open poll at the 2023 Congress of the Taiwan Retina Society.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},436049,1790764000,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":14,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":46},2336464648322,"https://ap-avatar.wpscdn.com/avatar/2200025388227c56fec?_k=1778556882303663488","J Chin MedAssoc  \nReview ARticle  \nGuidelines and treatment patterns for primary rhegmatogenous retinal detachments: Expert consensus and survey in Taiwan Retina Society  \nYu-Te Huanga, Chang-Hao Yangb, Shih-Jen Chenc, Cheng-Kuo Chengd, Tzyy-Chang Hob, Tsung-Tien Wue, Shwu-Jiuan Sheuf, Yi-Ting Hsiehb, Chia-Jen Changg, Jian-Sheng Wuh, Laura Liui, San-Ni Chena,*  \naDepartment of Ophthalmology, Eye center, China Medical University Hospital, Taichung, Taiwan, ROC bDepartment of Ophthalmology, National Taiwan University Hospital, Taipei, Taiwan, ROC cDepartment of Ophthalmology, Taipei Veterans General Hospital, Taipei, Taiwan, ROC dDepartment of Ophthalmology, Shin-Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan, ROC eDepartment of Ophthalmology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan, ROC fDepartment of Ophthalmology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan, ROC gDepartment of Ophthalmology, Taichung Veterans General Hospital, Taichung, Taiwan, ROC hDepartment of Ophthalmology, Changhua Christian Hospital, Changhua, Taiwan, ROC iDepartment of Ophthalmology, Chang Gung Memorial Hospital, Linkou Medical Center, Taoyuan, Taiwan, ROC  \nAbstract  \nRhegmatogenous retinal detachment (RRD) is a significant cause of vision loss and requires appropriate surgical intervention. There are several approaches available, including observation, laser demarcation, pneumatic retinopexy, scleral buckling, and pars planavitrectomy, which are chosen based on patient condition, surgeon experience, and national health insurance policies. Despite the various options, there is still no consensus on the optimal intervention. To address this, the Taiwan Retina Society assembled an expert committee with 11 experienced retina specialists to review the current evidence and develop a guideline with seven recommendations for managing RRD patients. Additionally, a survey was conducted with six questions to assess treatment patterns in Taiwan, which included input from the expert committee and an open poll at the 2023 Congress of the Taiwan Retina Society. This report provides a comprehensive summary of the current knowledge and expert consensus on the treatment of RRD, discussing the characteristics of current approaches and providing an overview of current treatment patterns in Taiwan. These findings aim to provide ophthalmologists with the best possible treatment for RRD.  \nKeywords: Pars plana vitrectomy; Pneumatic retinopexy; Practice guidelines; Rhegmatogenous retinal detachment; Scleral buckling; Treatment pattern  \n1. INTRODUCTION  \nRhegmatogenous retinal detachment (RRD) is a vision threatening disease caused by one or more full-thickness retinal breaks. Followed by the ingress of fluid from the vitreous cavity into the subretinal space, the separation of the neurosensory retina from the underlying retinal pigment epithelium causes visual symptoms, which potentially lead to blindness if not treated appropriately. The annual incidence of RRD around the world ranges from 7.98 to 18.2 per 105 person-years, with no significant difference between Eastern and Western countries.1–4 A nationwide, population-based study in Taiwan further reported that unique bimodal age peaks of RRD with high myopia presented as an important risk factor for younger patients (below 39 years old) .4  \n*Address correspondence. Dr. San-Ni Chen, Department of Ophthalmology, China Medical University Hospital, China Medical University, 2, Yuh-Der Road, Taichung 404, Taiwan, [ROC. E-mail address: sanchen52@gmail.com](ROC. E-mail address: sanchen52@gmail.com) (S.-N. Chen).  \nConflicts of interest: The authors declare that they have no conflicts of interest related to the subject matter or materials discussed in this article.  \nJournal of Chinese Medical Association. (2024) 87: 25-32.  \nReceived May 29, 2023; accepted August 26, 2023. doi: 10. 1097/JCMA.0000000000001010  \nCopyright © 2023, the Chinese Medical Association. This is an open access article under","cbCaikS1euV7m0Fa","https://ap.wps.com/l/cbCaikS1euV7m0Fa","pdf",617870,"English","# Introduction\n## Background and epidemiology of RRD\n## Treatment options and existing controversies\n## Rationale for expert consensus and Taiwan survey","[{\"question\":\"What defines rhegmatogenous retinal detachment and why is it urgent?\",\"answer\":\"RRD is caused by one or more full-thickness retinal breaks leading to fluid entry into the subretinal space and separation of the neurosensory retina. It is considered an emergency because prompt management is crucial for prognosis.\"},{\"question\":\"Which treatment modalities for primary RRD are discussed?\",\"answer\":\"The article describes observation, laser demarcation, pneumatic retinopexy, scleral buckling, and pars plana vitrectomy. Their success rates vary by clinical conditions.\"},{\"question\":\"How were Taiwan Retina Society recommendations and treatment-pattern data developed?\",\"answer\":\"An expert committee of 11 experienced retina specialists reviewed current evidence and produced seven recommendations for managing RRD. A separate survey with six questions was conducted in Taiwan, including input from the committee and an open poll at the 2023 Congress of the Taiwan Retina Society.\"}]","Guidelines and treatment patterns for primary rhegmatogenous retinal detachments - Expert consensus and survey in Taiwan Retina Society | PDF",1790676563]