Mysteries regarding the surgically reattached retina.
OBJECTIVE
To present contemporary information regarding the continued inability to reliably predict visual acuity following successful retinal reattachment surgery.


METHODS
Literature review.


RESULTS
Anatomical results of surgery for retinal detachment continue to be far superior to visual results. Clinical factors that have been considered important in predicting postoperative visual acuity include preoperative vision, duration of detachment, height of detachment, and preoperative potential acuity meter results. Recently, optical coherence tomography (OCT) studies have been employed for the purpose of predicting postoperative visual acuity, but to date none of these devices can precisely forecast postoperative vision in an individual eye.


CONCLUSIONS
Preoperative visual acuities appear to be the most important clinical variants correlating with postoperative visual results. Although advanced OCT techniques have identified preoperative and postoperative anatomical alterations that correlate with preoperative and postoperative visions in groups of eyes, no single specific finding indicates unequivocal visual success, and most reports continue to include examples of exceptions to statistical trends.
Wilkinson
Charles Patton
CP
Departments of Ophthalmology, Greater Baltimore Medical Center and The Johns Hopkins Hospital, Baltimore, Maryland, USA.
D006801:Humans; D008266:Macula Lutea / Q000473:pathology; D011184:Postoperative Period; D011237:Predictive Value of Tests; D012160:Retina / Q000473:pathology / Q000601:surgery*; D012163:Retinal Detachment / Q000473:pathology / Q000503:physiopathology* / Q000601:surgery*; D013997:Time Factors; D041623:Tomography, Optical Coherence; D014792:Visual Acuity