Visual acuity following retinal detachment surgery

Mod Probl Ophthalmol. 1979;20:324-9.

Abstract

A poor visual acuity following an anatomical cure of a retinal detachment was in this series always associated with a change in macular morphology, the commonest maculopathy being the appearance of a cellophanemembrane. Factors influencing the visual prognosis are duration and extent of the detachment, involvement of the macula, the age of the patient and the presence of pre-operative periretinal membrane formation. The type of buckling procedure is not related to the visual outcome and while the conversion of the procedure into an intra-ocular operation, either by way of drainage of subretinal fluid or by intra-vitreal injection, can cause serious complications we suggest that uncomplicated drainage of subretinal fluid has not been a cause of macular pucker in this series but that this conditions is related to the indication for drainage, namely a varying degree of rigidity of the retina due to periretinal membrane formation.

MeSH terms

  • Age Factors
  • Drainage / adverse effects
  • Humans
  • Macula Lutea
  • Middle Aged
  • Postoperative Complications*
  • Prognosis
  • Retinal Detachment / surgery*
  • Retinal Diseases / etiology
  • Scleral Buckling / methods
  • Time Factors
  • Vision Disorders / etiology*
  • Visual Acuity*
  • Vitreous Body