[Failures of the surgical treatment of rhegmatogenous retinal detachment].
The surgical treatment of rhegmatogenous retinal detachment, has considerably improved. But there are still a lot of failures, at least after the first surgical procedure. Out of a group of 320 retinal detachments, a one stage surgical procedure allowed the retina to reattach in 84% of cases. Out of the 51 failures, we defined 2 subgroups: the early recurrences were mainly caused by undiagnosed breaks or insufficient scleral buckling, and the delayed recurrences by a vitreo-retinal proliferation or a new tear. Though a second operation increased the success rate to 97%, it is certainly desirable to lower the failure rate of the first surgical procedure.
Haut
J
J
Centre Hospitalier National d'Ophtalmologie des Quinze-Vingts, Paris.
Lepvrier
N
N
Ameline
B
B
Quesnot
S
S
Le Mer
Y
Y
Monin
C
C
D000328:Adult; D000368:Aged; D005260:Female; D005466:Fluorocarbons / Q000009:adverse effects; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D011183:Postoperative Complications; D012008:Recurrence; D012086:Reoperation; D012162:Retinal Degeneration / Q000209:etiology; D012163:Retinal Detachment / Q000601:surgery*; D012189:Retrospective Studies; D013997:Time Factors; D014822:Vitreous Body
D005466:Fluorocarbons
Echecs du traitement chirurgical des décollements de rétine rhegmatogènes.