J Korean Ophthalmol Soc.
1978 Dec;19(4):429-439.
Clinical Analysis of Retinal Detachment
- Affiliations
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- 1Department of Ophthalmology, College of Medicine, Seoul National University, Seoul, Korea.
Abstract
- The 291 eyes of the 280 retinal detachment patients were analyzed for general state of the retinal detachment, and 261 eyes of 250 patients were analyzed for the result of surgery. About half (49.3%) of the patient were between 20~39 years of age, and 8.6% were bilateral. Men were affected more than women (71.7:28.3). Round holes were predominant (54.3%), then horse-shoe tears (23.1%). Most were located at superior temporal quadrant, but dialysis were predominant at inferior temporal quadrant. Most (68.4%) of the patient were myopic, and aphakic patients were 9.4%, and trauma were associated in 10.3% of cases. The overall success rate of rhegmatogenous retinal detachment was 74.0%. The kind, number of the holes showed no effect on the success rate, only giant tears showed poor success rate. The age showed no effect on the success rate, except the group below 10 years of age, which showed poor success rate. The good pre-op vision, the normal IOP, The short duration, and small localized detachment had favorable effect on success rate. The repetition of the operation, and aphakia showed unfavorable effect. The shorter the duration, the lower the degree of the myopia, and the better the pre-op vision, were the final vision better. The cryopexy wns less associated with complications than diathermy. The most frequent causes of failure were giant tear and MVR. If the tear was not detected, the prognosis was poor, and nonrhegmatogenous retinal detachment showed poor prognosis.
