[Surgery of retinal detachment without giant tears, macular hole or advanced proliferative vitreoretinopathy].
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.
Girard
P
P
Service d'Ophtalmologie, Hôpital Lariboisière, Université Paris 7.
Naacke
H
H
Massin
P
P
Gaudric
A
A
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