Korean J Ophthalmol.  2000 Jun;14(1):20-26. 10.3341/kjo.2000.14.1.20.

Long-term visual recovery after scleral buckling procedure of rhegmatogenous retinal detachment involving the macula

• Chang SD
• Kim IT

• KMID: 754268
• DOI: http://doi.org/10.3341/kjo.2000.14.1.20

Abstract

The long-term visual recovery after a scleral buckling procedure for rhegmatogenous retinal detachment involving the macula was investigated retrospectively. The patients had been treated with a segmental or encircling scleral buckle procedure and in this study the follow-up period was between 5 and 11 years. In order to investigate the natural course of functional recovery of the reattached retina, all cases with a history of intraocular surgery or trauma were excluded. In this investigation, 34 patients were selected in which 35 eyes were studied. The best corrected visual acuities between a 6-month and 5-year postoperative period were compared. They were found to be more improved 5 years after surgery than after 6-month by two or more lines in 19 eyes (54+ACU-). In these 19 eyes, the visual acuities continued to improve up to 10 years after surgery. Improvement in the long-term postoperative visual acuity was found to correlate with the shorter duration of macular detachment (30 days), zero or mild myopia (-6 diopters) and to a lesser extent, retinal detachment. the visual function of the reattached human retinas may continue to improve over the long term, especially when these beneficial factors are present.

MeSH Terms

Adult
Comparative Study
Female
Follow-Up Studies
Human
Macula Lutea/physiopathology+ACo-
Male
Postoperative Period
Recovery of Function+ACo-
Retinal Detachment/surgery+ACo-
Retinal Detachment/physiopathology
Retrospective Studies
Scleral Buckling+ACo-
Visual Acuity/physiology+ACo-