Geriletu, Yu-feng ZHANG, Wei WEI, Pu WANG. Surgical Management for Retinal Detachment[J]. Medical Journal of Peking Union Medical College Hospital, 2013, 4(2): 134-137. DOI: 10.3969/j.issn.1674-9081.2013.02.010
Citation: Geriletu, Yu-feng ZHANG, Wei WEI, Pu WANG. Surgical Management for Retinal Detachment[J]. Medical Journal of Peking Union Medical College Hospital, 2013, 4(2): 134-137. DOI: 10.3969/j.issn.1674-9081.2013.02.010

Surgical Management for Retinal Detachment

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  • Corresponding author:

    Geriletu Tel: 0471-6620319, E-mail:geriletu007@sina.com

  • Received Date: December 19, 2012
  • Issue Publish Date: April 29, 2013
  •   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.
  • [1]
    Lean J, Stern WH, Irvine AR, et al. Classification of proliferative vitreoretinopathy used in the silicone study[J]. Ophthalmology, 1989, 96:765-771. DOI: 10.1016/S0161-6420(89)32821-1
    [2]
    Gariano RF, Kim CH. Evaluation and management of suspected retinal detachment[J]. Am Fam Physician, 2004, 69:1691-1698. http://europepmc.org/abstract/MED/15086041
    [3]
    闵寒毅, 毛进, 高斐, 等.无放液最小量巩膜外加压术治疗孔源性视网膜脱离[J].协和医学杂志, 2011, 2:357-361. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=xhyx201104014
    [4]
    Shibata M, Oshitari T, Kajita F, et al. Development of macular holes after rhegmatogenous retinal detachment repair in Japanese patients[J]. J Ophthalmol, 2012, 2012:740591. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=Doaj000001302477
    [5]
    Kusaka S, Toshino A, Ohashi Y, et al. Long-term visual recovery after scleral buckling for macula-off retinal detachments[J]. Jpn J Ophthalmol, 1998, 42:218-222. DOI: 10.1016/S0021-5155(97)00136-6
    [6]
    Burton TC. Recovery of visual acuity after retinal detachment involving the macula[J]. Trans Am Ophthalmol Soc, 1982, 80:475-497. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=PubMed000001834349
    [7]
    Lee JE. Two-step surgery for retinal detachment caused by myopic macular hole[J]. Clin Ophthalmol, 2012, 6:1771-1774. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=Doaj000002182932
    [8]
    Lane JI, Watson RE Jr, Witte RJ, et al. Retinal detachment:imaging of surgical treatments and complications[J]. Radiographics, 2003, 23:983-994. DOI: 10.1148/rg.234025163
    [9]
    Yorston D, Jalali S. Retinal detachment in developing countries[J]. Eye, 2002, 16:353-358. DOI: 10.1038/sj.eye.6700188
    [10]
    Chung SE, Kang SW, Yi CH. A developmental mechanism of spontaneous reattachment in rhegmatogenous retinal detachment[J]. Korean J Ophthalmol, 2012; 26:135-138. DOI: 10.3341/kjo.2012.26.2.135
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