Surgical Management for Retinal Detachment

  Objective  To explore the effectiveness and complications of retinal detachment surgery.

  Methods  A total of 68 patients (70 eyes) received different retinal reattachment surgeries based on the retinal detachment type and severity. Best corrected visual acuity (BCVA), retinal attachment condition, and complications were observed before and after the surgery.

  Results  Among these 70 eyes, 62 eyes (19 eyes with silicone tamponade) were reattached completely to the first surgery. The reattachment rate was 88.6%. Six eyes received a second and/or third surgery, and the final retinal reattachement rate was 97.1%. The preoperative BVCA was less than finger count in 46 eyes (65.7%). After (5.3±2.2) months of follow-up, the postoperative BVCA was more than 0.05 in 58 eyes (82.9%). Comparison of the visual acuity showed significant difference before and after surgery (χ²=58.26, P=0.000). The postoperative complications included sore eye (n=1), focal preretinal proliferation (n=3), cataract (n=5), and secondary glaucoma (n=8).

  Conclusion  Timely and reasonable reattachment surgeries can effectively treat retinal detachment and improve vision.