A Clinical Study of the Rhegmatogenous Retinal Detachment

ABSTRACT

PURPOSE: This study aimed to analyze the clinical characteristics, results of operational method and causes of operational failure in rhegmatogenous retinal detachment except macula hole induced retinal detachment, and to analyze several factors of vision. METHOD: We reviewed the records of 720 patients, 743 eyes with regmatogenous retinal detachment who had undergone operation from January 1990 to December 1999, and followed up for at least 3 months or longer. RESULT: Scleral buckling (728 eyes, 98.0%), gas injection (9 eyes, 1.2%) and vitrctomy (6 eyes, 0.8%) were done as a primary operation. Anatomical success rate was 684 eyes(34.9%). A good visual acuity ( V A >or=0.5) was achieved in 239 eyes (34.9%), reasonable vision (VA 0.4~0.15) in 192 eyes(28.1%), ambulatory vision (VA 0.1~0.02) in 95 eyes (13.8%), whereas 158 eyes (23.2%) became blind (VA visual acuity, young age, short duration of symptom, limited extent of detachment, macula not involved patients and breaks located anterior to or at equator. But poor visual acuity was related to cases of not finding a beak and more reoperation cases.

CONCLUSION:

During the past 10 years, we found that functional outcome was not favorable in spite of the high anatomical success. This prognostic factors make us predict postoperative visual outcome of rhegmatogenous retinal detachment.