ABSTRACT
We have analyzed the surgery results of rhegmatogenous retinal detachment (RD) on 73 patients (76 eyes) operated on in 2000. Retinal reattachment was achieved on 59 eyes (77.6%) without silicone oil tamponade (SO) and on 17 eyes (22.4%) with the use of permanent silicone oil tamponade. Visual acuity following the operation was improved on 47 eyes (61.8%). Visual acuity 20/20-20/40 was reached on 16 eyes (21.1%), 20/60-20/120 on 35 eyes (46.0%), 20/200-4/200 on 19 eyes (25.0%), worse than 4/200 on 6 eyes (7.9%). Based on contemporary surgical technique the most important criterion of anatomical and functional success with the retinal detachment treatment is the time between RD onset and the time of the surgery, as well as the presence and extent of proliferative vitreoretinopathy.
Subject(s)
Retinal Detachment/surgery , Retinal Perforations/complications , Adolescent , Adult , Aged , Aged, 80 and over , Female , Humans , Male , Middle Aged , Ophthalmologic Surgical Procedures/methods , Retinal Detachment/etiology , Retinal Perforations/surgery , Silicone Oils/administration & dosageABSTRACT
In a group of 2,281 eyes after extraction of a cataract and implantation of an iris clip lens (1,362 eyes after intracapsular extraction and 927 eyes after extracapsular extraction) motion of the retina occurred in 36 eyes (1.67%), incl. 27 after intracapsular extractions (1.98%) and 9 after extracapsular extractions (0.97%). In patients with pseudophakic retinal detachment after implantation of an iris clip lens the frequency of factors which might interfere with the development of this complication was investigated. The latter proved to be the following: prolapse of the vitreous body, luxation of the implanted lens, posterior uveitis and myopia. Detachment of the retina was preceded by: peroperative prolapse of the vitreous body in 34.21%, luxation of the implanted lens in 28.95%, posterior uveitis in 36.85% and myopia (up to -4.0 Ds) in 21.05%. Anatomical and functional results after operation of pseudophakic motion were evaluated in 38 eyes (36 eyes operated on account of cataract in the authors' department, two in other departments). The minimal follow up period after operation of retinal detachment was six months. Anatomical restoration of the retina was achieved in 23 eyes (60.53%), in 9 eyes a residual motion remained (23.68%) and in four eyes total motion (10.53%). In two eyes keratopathy developed (5.26%). Central vision 6/6-6/12 was achieved in 18.42%, 6/15-6/36 in 21.05%, 6/60-3/60 in 28.95% and less than 3/60 in 31.58%. In the poorer anatomical and functional results after operation of pseudophakic motions participate in addition to the above mentioned ones difficult visualization of the retinal periphery and the extent of surgical trauma during surgery of detached retinas.
