J Korean Ophthalmol Soc.  1997 Oct;38(10):1788-1796.

Factors Affecting the Visual Outcome after Successful Retinal Reattachment Surgery in Rhegmatogenous Retinal Detachment Involving the Macula

• Nam SK
• Kim KS

Abstract

To investigate the factors affecting the visual outcome after otherwise successful retinal reattachment surgery in rhegmatogenous retinal detachment involving macula, we performed a retrospective surgvey on 170 eyes encountered properly for this study. Preoperative variables used in this series included age of patients, duration of macular detachment, preoperative visual acuity, extent of detached retina, distance between breaks, and number, shape and location of breaks. We achieved visual acuities of 20/50 or better in 49% (83 of 170 eyes) after retinal reattachment surgery. Factors related to the favorable visual outcome (20/50 or better) were macular detachment lasting less than one month, preoperative visual acuities of 20/200 or better, extent of retinal detachment of 3Q or less, and detachment with tears located at or anterior to the equator. There was no relationship between the visual outcome and the type and the number of the breaks. Of all these variables, preoperative visual acuity has the closest correlation with the final visual results after anatomically successful reattachment surgery.

Keyword

Macular detachment; Preoperative visual acuity; Rhegmato genous retinal detachment; Visual outcome

MeSH Terms

Humans
Retina
Retinal Detachment*
Retinaldehyde*
Retrospective Studies
Visual Acuity
Retinaldehyde