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ABS TRACT The evo lu ti on of the pre sent sur gi cal ap pro ac hes for re at tac hing a pri mary re ti nal detach ment and the is su es which de ter mi ned the va ri o us tech ni qu es will be analy zed star ting from 1929. Li te ra tu re of re ti nal de tach ment sur gery du ring the past 80 ye ars is re vi e wed. The re had be en a chan ge from sur gery of the en ti re re ti nal de tach ment to a sur gery li mi ted to the re ti nal bre ak and a chan ge from ex tra o cu lar (e.o.) to in tra o cu lar (i.o.) sur gery for re ti nal re at tach ment. The four ma jor sur ge ri es for re pa ir of pri mary re ti nal de tach ment, app li ed in the be gin ning of the 21st century, ha ve one com mon is su e: to find and clo se the bre ak which ca u sed the re ti nal de tach ment or wo uld ca u se re de tach ment. This is in de pen dent whet her sur gery is li mi ted to the are a of bre ak or ex ten ding over the en ti re de tach ment and whet her it is per for med as an e.o. or i.o. pro ce du re. This is fol lo wed by com pa ri son of the pre sently app li ed four tech ni qu es in re la ti on to: mor bi dity, proliferative vitreoretinopathy (PVR), ra te of re at tach ment and re o pe ra ti ons. To find and clo se the le a king re ti nal bre ak in a pri mary de tach ment on ce and for all has ac com pa ni ed the ef forts of de tach ment sur ge ons as a "red thre ad" over the past 80 ye ars and is still the pre mi se for sus ta i ned re at tach ment. Ho we ver, at pre sent four re qu i re ments ha ve to be ful fil led: (1) Re ti nal re at tach ment sho uld be ac hi e ved with one ope ra ti on, (2) ope ra ti on sho uld ha ve mi ni mum of mor bi dity, (3) surgery sho uld be per for med on a small bud get and un der lo cal anest he si a, (4) sur gery sho uld not harbo ur se con dary comp li ca ti ons je o par di zing re ga i ned vi su al acu ity du ring sub se qu ent ye ars.

Repair of Primary Retinal Detachment: A Review of its Development and a Comparison of the Present Techniques in Use: Review