title: The histopathology of successful retinal reattachment.
abstract: Fifteen eyes with rhegmatogenous retinal detachment that were successfully reattached with scleral buckling were studied histopathologically after enucleation or autopsy. Postoperative visual acuities ranged from 20/25 to 5/200. Epiretinal membranes were present in 9 of 15 eyes (60%) and cystoid macular edema was present in 4 of 15 (26%). Although the reattached retina was of normal morphology by light microscopy in 9 of 15 eyes, significant atrophy of outer retinal layers was noted in 4 of 15 eyes (26%). In 5 of 13 patients, reduced postoperative vision could be histopathologically correlated with macular edema or lack of retinal regeneration, but there was no compelling histopathologic explanation for reduced vision noted in 5 other cases.
authors.affiliation: Department of Ophthalmology, University of Louisville School of Medicine, Kentucky.
authors.forename: C C
authors.initials: CC
authors.lastname: Barr
mesh_terms: D000368:Aged; D015353:Eye Enucleation; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012163:Retinal Detachment / Q000473:pathology / Q000601:surgery*; D012591:Scleral Buckling; D014792:Visual Acuity