Visual recovery in macula-off rhegmatogenous retinal detachments

Ophthalmology. 1998 Nov;105(11):2149-53. doi: 10.1016/S0161-6420(98)91142-3.


Objective: This study aimed to review the best postoperative visual recovery in patients with macula-off detachments of 7 days' duration or less.

Design: Noncontrolled, prospective, interventional case series.

Participants: A total of 104 patients with macula-off detachments of 7 days or less were studied, and the time of the macular detachment within the first 7 days was carefully determined.

Intervention: All 104 detachments were repaired with a primary scleral buckling procedure. Four cases were primary failures and were excluded from the study.

Main outcome measures: Statistical methods were used to compare the visual results of three groups of patients; those operated on between 1 and 2 days, 3 and 4 days, or 5 and 7 days after macular involvement.

Results: The mean postoperative visual acuity was 20/60. Fifty-nine percent of patients regained 20/50 or better visual acuity, 35% regained visual acuity between 20/60 and 20/200, and 5% of patients were left with visual acuity of less than 20/200 regardless of whether they had undergone surgery within 1 to 2 days, 3 to 4 days, or 5 to 7 days after macular involvement. There was no statistical difference in visual recovery in patients operated on within 1 to 2 days, 3 to 4 days, or 5 to 7 days after macular involvement (P = 0.533).

Conclusion: Within the first week after development of macula-off retinal detachment, delay in surgical repair does not adversely affect visual outcome.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Aged, 80 and over
  • Fluorocarbons / administration & dosage
  • Follow-Up Studies
  • Humans
  • Macula Lutea / physiopathology*
  • Macula Lutea / surgery
  • Middle Aged
  • Prospective Studies
  • Retinal Detachment / physiopathology*
  • Retinal Detachment / surgery
  • Scleral Buckling
  • Sulfur Hexafluoride / administration & dosage
  • Visual Acuity*
  • Vitrectomy


  • Fluorocarbons
  • perflutren
  • Sulfur Hexafluoride