title: [Surgery of retinal detachment without giant tears, macular hole or advanced proliferative vitreoretinopathy].
abstract: OBJECTIVE
  To evaluate surgical results in usual detachment cases.
  
  
  METHODS
  This retrospective study covered 704 non-referred cases treated by the same surgeon. A follow-up duration of at least 6 months was obtained for all the successful cases.
  
  
  RESULTS
  In 617 cases (87.6%) permanent reattachment was obtained with the first operation. The two main causes of initial failure were new or non-sealed breaks in 39 cases, 9 of them treated without a buckle, and postoperative PVR in 36 cases. After repeat surgery 48 additional cases were reattached, finally 665 cases (94.5%) were successfully treated. In all, postoperative PVR occurred in 39 cases, 22 of these were reoperated on, successfully for 16; thus PVR caused 23 of the 39 terminal failures. In 13 other failed cases there were no obvious unsealed break or severe postoperative PVR. A final visual acuity of 20/40 or more was attained in 443 cases.
  
  
  CONCLUSIONS
  PVR although infrequent (5.5%), was the main cause of failure. In 13 cases the reason for non reattachment remained uncertain, these failures may have involved an excessive vitreous traction and perhaps in this situation a vitrectomy with a wide angle viewing system might have been helpful.
authors.affiliation: Service d'Ophtalmologie, Hôpital Lariboisière, Université Paris 7.
authors.forename: P
authors.initials: P
authors.lastname: Girard
authors.forename: H
authors.initials: H
authors.lastname: Naacke
authors.forename: P
authors.initials: P
authors.lastname: Massin
authors.forename: A
authors.initials: A
authors.lastname: Gaudric
mesh_terms: D005500:Follow-Up Studies; D006801:Humans; D012086:Reoperation; D012163:Retinal Detachment / Q000150:complications / Q000601:surgery*; D012189:Retrospective Studies; D013997:Time Factors; D014821:Vitrectomy; D018630:Vitreoretinopathy, Proliferative / Q000150:complications* / Q000601:surgery