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Comparative Study
. 2001 May;85(5):546-8.
doi: 10.1136/bjo.85.5.546.

Primary rhegmatogenous retinal detachment: 20 years of change

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Comparative Study

Primary rhegmatogenous retinal detachment: 20 years of change

M Minihan et al. Br J Ophthalmol. 2001 May.

Abstract

Aim: To compare characteristics, management, and outcome of two groups of patients with primary rhegmatogenous retinal detachment (RRD) presenting to the same vitreoretinal unit approximately 20 years apart.

Methods: 124 patients in 1979-80 and 126 cases in 1999 were compared.

Results: More cases were pseudophakic and fewer aphakic in 1999 than 1979-80. More cases of giant retinal tear and fewer dialyses were operated on in 1999. Vitrectomy was a primary procedure in 63% of cases in 1999 but only 1% in 1979-80. Anatomical success rates were statistically similar: 79.8% primary and 88.8% final success in 1979-80, and 84% primary and 93.6% final success in 1999.

Conclusion: Surgical management of primary RRD has changed greatly in 20 years. Success rates have changed little, despite availability of differing surgical techniques.

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Figures

Figure 1
Figure 1
Surgical methods. Top, 1979-80; bottom 1999.

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