The importance of fluid absorption, traction, intraocular currents, and chorioretinal scars in the therapy of rhegmatogenous retinal detachments. XLI Edward Jackson memorial lecture

Am J Ophthalmol. 1984 Dec 15;98(6):681-93. doi: 10.1016/0002-9394(84)90682-2.


The combination of traction on the retina and of intraocular currents in the presence of a retinal hole is the cause of rhegmatogenous retinal detachment. The strong suction forces of the pigment epithelium and choroid counteract such a development. Chorioretinal scars serve as a seal against currents. Eliminating the effects of traction and of intraocular currents and making use of the absorption forces of the pigment epithelium and choroid are the primary aims in successfully treating rhegmatogenous retinal detachment. Direct closure of the retinal hole is not always necessary.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adult
  • Aged
  • Body Fluids / physiology
  • Choroid / physiopathology
  • Female
  • Humans
  • Male
  • Pigment Epithelium of Eye / physiopathology
  • Retinal Detachment / physiopathology
  • Retinal Detachment / therapy*
  • Scleral Buckling
  • Vitreous Body / physiopathology