Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2009 Dec:107:55-7.

Mysteries regarding the surgically reattached retina

Charles Patton Wilkinson  1
Affiliations
Review

Mysteries regarding the surgically reattached retina

Charles Patton Wilkinson. Trans Am Ophthalmol Soc. 2009 Dec.

Abstract

Purpose: 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.

PubMed Disclaimer

References

    1. Gonin J. Le Decollement de la Retine. Lausanne: Librarie Poyot; 1934. pp. 1–279.
    1. Wilkinson CP, Rice TA. Michels Retinal Detachment. St Louis: Mosby; 1997. pp. 935–978.
    1. Liu F, Meyer CH, Mennel S, Hoerle S, Kroll P. Visual recovery after scleral buckling in macula-off rhegmatogenous retinal detachment. Ophthalmologica. 2005;220:174–180. - PubMed
    1. Ross W, Lavina A, Russell M, Maberley D. The correlation between height of macular detachment and visual outcome in macula-off retinal detachments of less than or equal to seven days’ duration. Ophthalmology. 2005;112:1213–1217. - PubMed
    1. Doyle E, Herbert EN, Bunce C, Williamson TH, Laidlaw DAH. How effective is macula-off retinal detachment surgery. Might good outcome be predicted? Eye. 2007;21:534–540. - PubMed