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Post‐operative outcome in rhegmatogenous retinal detachment
Author(s) -
Laatikainen L.,
Harju H.,
Tolppanen E.M.
Publication year - 1985
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.1985.tb01575.x
Subject(s) - retinal detachment , medicine , ophthalmology , aphakia , visual acuity , proliferative vitreoretinopathy , retinal , retina , surgery , optics , physics
Abstract. Anatomic and visual results of retinal detachment surgery were analyzed in 352 consecutive eyes operated on for rhegmatogenous type of retinal detachment in 1978–1981 at the University Eye Hospital in Helsinki. From 1978–79 to 1980–81, both the re‐attachment rate and the visual results improved significantly ( P <0.05) In the latter period, the retina was re‐attached in 87% and partially re‐attached in 2%. In the same period, a good visual acuity (VA ≥ 0.5) was achieved in 39%, reasonable (VA 0.4–0.15) in 28%, and an ambulatory vision (VA 0.1–CF2m) in 16%, whereas 18% of the eyes became blind (VA CF1m or worse). A favourable outcome was related to good pre‐operative visual acuity, short duration and limited extent of detachment as well as sparing of the macula. Among factors which predicted an unfavourable outcome were aphakia, failure to detect retinal breaks, signs of proliferative vitreoretinopathy, multiple operations and old age. Poor outcome was more common after encircling as compared with localized procedures, but the success rate of the various types of operations was not comparable because encircling procedures were selected for more severe cases.