Late recurrence of retinal detachment.
We reviewed 1,136 cases of retinal detachment in 1,073 patients. Late recurrence was defined as the reappearance of subretinal fluid after at least 6 months of clear, total reattachment. Fifty-one patients (4.75%) had a late recurrence. New or reopened peripheral breaks were either definitely observed or presumed to be present in 40 eyes (78.5%), and none were definite peripheral holes or retinal dialyses. Three macular holes reopened after having initially been managed by vitrectomy. One additional macular hole occurred as a new break. Late severe proliferative vitreoretinopathy occurred in the last 7 cases. Only vitrectomy for initial detachment and lens extraction after reattachment correlated with late recurrence. Vitrectomy was still a significant risk factor when macular holes were excluded.
Girard
P
P
Fondation Ophtalmologique Rothschild, Paris, France.
Mayer
F
F
Karpouzas
I
I
D000368:Aged; D005260:Female; D006801:Humans; D008297:Male; D011183:Postoperative Complications; D015995:Prevalence; D012008:Recurrence; D012086:Reoperation; D012163:Retinal Detachment / Q000453:epidemiology / Q000601:surgery*; D012167:Retinal Perforations / Q000601:surgery; D012189:Retrospective Studies; D012307:Risk Factors; D013997:Time Factors; D014821:Vitrectomy; D018630:Vitreoretinopathy, Proliferative / Q000209:etiology