Background and objective: To investigate visual outcomes for macula-off rhegmatogenous retinal detachments (RRD) compared to macula-on RRDs based on duration from diagnosis to surgical repair performed by a single surgeon with access to a retina call block system.
Patients and methods: A case-control study reviewing the visual acuity (VA) after surgical repair in consecutive macula-off (n = 127) and maculaon (n = 63) RRD comparison eyes that underwent primary RRD repair performed by a single surgeon with dedicated retina call block time.
Results: Our results revealed significantly improved VA in macula-off RRD eyes repaired within 3 days of diagnosis at 3, 6, and 12 months/last follow-up, and that duration from diagnosis to surgery is a predictor of VA at 3- and 12-month/last follow-up postoperative visits.
Conclusion: Our findings support the use of mechanisms that improve access to operating room time, such as a retina call block system, to expedite surgical repair access. [Ophthalmic Surg Lasers Imaging Retina 2025;56:30-36.].