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In this study, patients from peripheral areas, in addition to their cultural backgrounds, prefer to visit their local nurse or general practitioner first at a primary care unit since general ophthalmologists with adequate facilities are also limited. Those considerations might contribute to longer SO-C. Although accurate cut-off for the macula-off dura-tion and RD duration to intervention is difficult to determine, the majority are in agreement that the macula-off duration is inversely proportional to visual recovery30, 31). Therefore, urgent interven-tions to shorten macula-off RD duration may provide better long-term VA results32).This study has several limitations in terms of its retrospective nature that comes from single center. During the study period, transition from manual to electronic medical record was applied and contrib-uted to our inability to collect complete sociodemo-graphic data including education level, per capita income, human/area development index and other important information related to patient’s delay, doctor’s delay or referral system’s delay that could have been unmeasured confounding factors to this study. The TDH was determined roughly from the center of the place of origin (where the patients came from) to the referral hospital. The SO-C was obtained only from the patient’s subjective report, while not every patient remembered when the symptoms appeared for the first time, as photopsia, floaters, or visual disturbance. The existence of recall bias should be noted. There were several unknown data in PVR grade and macula conditions.Despite all limitations, this research supports RD epidemiological evidence in a real-world setting and provides an overview of RD in one referral hospital in Indonesia that lacks a vitreoretinal specialist and facilities in certain areas of Indonesia that result in late presentation. In addition to the aforementioned, this study will help us to learn about the availability of facilities for patients that can shorten the referral mechanism, which could benefit patients. Further prospective research regarding risk factors in late RD presentation, whether from the patient’s or doctor’s delay and scarcity of facilities need to be revealed. For example, a questionnaire regarding the knowledge and awareness of RD patients and their association with final anatomical and functional outcomes should be conducted for evaluating the referral 42routes and obstacles from the primary care provider to the tertiary eye care unit. In summary, this study observed that a travel distance of more than 120 km is significantly asso-ciated with the longer period from symptom onset to consultation and 6 months follow-up attendance. The aforementioned is significantly associated with PVR severity that may result in redetachment and poor prognosis. In order to improve the final VA outcome, it is essential to refer RD cases in a timely fashion to prevent any delays, especially in macu-la-on RD. Furthermore, the government needs to enhance access to eye care and develop novel approaches to provide accessible and affordable healthcare in peripheral areas. Additionally, continuing medical training and raising awareness in relation to RD emergency for frontline health workers as well as education for patients or people at risk are expected. Along with the development in social media, the importance of RD as one of ophthalmic emergency could be delivered through webinars and many platforms of social media both for health workers and people at risk.The authors would like to thank Vitreoretinal Division Department of Ophthalmology, Faculty of Medicine Universitas Airlangga/ Dr. Soetomo General Academic Hospital, Surabaya (Dr. Ima Yustiarini, SpM and Dr. Ady Dwi Prakosa, SpM), Dr. Ifan Romadhon Lukmana, SpM, Dr. Diana Yuli-awati, SpM, Dr. Andira Bulan Nandinanti and Siti Rukayah, for their contribution to this study.The authors received no financial support for the research.The conception and design of the study : SAW, YH. Acquisition of data : SAW, MF. Analysis and interpretation of data : SAW, YH. Writing original draft : SAW. Review and editing critically for important intellectual content : YH, KO. Final approval of the version to be submitted : WS, AM.The Authors declare that there are no conflicts of interest.AcknowledgementsFundingAuthor contributionsConflicts of interest statement