title: Prognosis of primary rhegmatogenous retinal detachments. 1. Associations between clinical detachment characteristics, subretinal fluid butyrylcholinesterase and visual outcome following scleral buckling procedures.
abstract: Thirty-five patients with primary rhegmatogenous retinal detachments were followed for at least 6 months after scleral buckling procedures with subretinal fluid (SRF) drainage, in order to define factors influencing anatomic and visual outcome. Thirty-two cases were surgically reattached; three were not. Among the reattached cases, final visual acuity was poorer in patients with: older age; longer standing, more extensive detachments; detachment of the macula (with or without the development of a visible macular lesion); macular lesions; and higher SRF butyrylcholinesterase activity. These factors were themselves interrelated. Follow-up duration was only weakly related to final acuity, probably because of the long post-surgical follow-up. Phakic/aphakic status bore little relationship to final acuity. The type or timing relative to drainage of inflammation producing treatment was not related to final acuity.
mesh_terms: D000328:Adult; D000367:Age Factors; D000368:Aged; D001082:Aqueous Humor / Q000201:enzymology; D002091:Butyrylcholinesterase / Q000378:metabolism; D002908:Chronic Disease; D005500:Follow-Up Studies; D006801:Humans; D008266:Macula Lutea; D008875:Middle Aged; D011379:Prognosis; D012160:Retina / Q000201:enzymology; D012163:Retinal Detachment / Q000175:diagnosis* / Q000201:enzymology / Q000601:surgery; D012591:Scleral Buckling; D014792:Visual Acuity
chemical_list: D002091:Butyrylcholinesterase