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. 1978 Sep;62(9):595–603. doi: 10.1136/bjo.62.9.595

Macular abnormalities in the reattached retina.

P E Cleary, P K Leaver
PMCID: PMC1043306  PMID: 708677

Abstract

Sixty-six patients in whom the macula was detached before surgery were observed for at least 1 year after retinal reattachment. Macular abnormalities were recognised clinically in most patients with severely reduced vision. Failure of retinal receptor regeneration or receptor misalignment may account for visual reduction in a minority of patients but may be less important as a cause of reduced visual acuity than was previously supposed. This study confirms that the visual prognosis is related to the duration of the detachment before surgery, and patients with a macular detachment for 2 months or longer are likely to suffer persistently reduced vision.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Aaberg T. M., Machemer R. Correlation of naturally occurring detachments with long-term retinal detachment in the owl monkey. Am J Ophthalmol. 1970 Apr;69(4):640–650. doi: 10.1016/0002-9394(70)91633-8. [DOI] [PubMed] [Google Scholar]
  2. Abraham R. K., Shea M. Significance of pigment dispersion following cryoretinopexy: scotomata and atrophy. Bibl Ophthalmol. 1969;79:455–461. [PubMed] [Google Scholar]
  3. Bellhorn M. B., Friedman A. H., Wise G. N., Henkind P. Ultrastructure and clinicopathologic correlation of idiopathic preretinal macular fibrosis. Am J Ophthalmol. 1975 Mar;79(3):366–373. doi: 10.1016/0002-9394(75)90608-x. [DOI] [PubMed] [Google Scholar]
  4. Chisholm I. A., McClure E., Foulds W. S. Functional recovery of the retina after retinal detachment. Trans Ophthalmol Soc U K. 1975 Apr;95(1):167–172. [PubMed] [Google Scholar]
  5. Enoch J. M., Van Loo J. A., Jr, Okun E. Realignment of photoreceptors disturbed in orientation secondary to retinal detachment. Invest Ophthalmol. 1973 Nov;12(11):849–853. [PubMed] [Google Scholar]
  6. Fishman G. A., Maggiano J. M., Fishman M. Foveal lesions seen in retinitis pigmentosa. Arch Ophthalmol. 1977 Nov;95(11):1993–1996. doi: 10.1001/archopht.1977.04450110087008. [DOI] [PubMed] [Google Scholar]
  7. Foos R. Y. Vitreoretinal juncture--simple epiretinal membranes. Albrecht Von Graefes Arch Klin Exp Ophthalmol. 1974 Jan 28;189(4):231–250. doi: 10.1007/BF02384852. [DOI] [PubMed] [Google Scholar]
  8. Foulds W. S., Lee W. R., Taylor W. O. Clinical and pathological aspects of choroidal ischaemia. Trans Ophthalmol Soc U K. 1971;91:323–341. [PubMed] [Google Scholar]
  9. Gass J. D. Nicotinic acid maculopathy. Am J Ophthalmol. 1973 Oct;76(4):500–510. doi: 10.1016/0002-9394(73)90738-1. [DOI] [PubMed] [Google Scholar]
  10. Gloor B. P., Daicker B. C. Pathology of the vitreo-retinal border structures. Trans Ophthalmol Soc U K. 1975;95(3):387–390. [PubMed] [Google Scholar]
  11. Gundry M. F., Davies E. W. Recovery of visual acuity after retinal detachment surgery. Am J Ophthalmol. 1974 Mar;77(3):310–314. doi: 10.1016/0002-9394(74)90735-1. [DOI] [PubMed] [Google Scholar]
  12. Hilton G. F. Subretinal pigment migration. Effects of cryosurgical retinal reattachment. Arch Ophthalmol. 1974 Jun;91(6):445–450. doi: 10.1001/archopht.1974.03900060459006. [DOI] [PubMed] [Google Scholar]
  13. Hitchings R. A., Chisholm I. H., Bird A. C. Aphakic macular edema: incidence and pathogenesis. Invest Ophthalmol. 1975 Jan;14(1):68–72. [PubMed] [Google Scholar]
  14. Jay B. The functional cure of retinal detachments. Trans Ophthalmol Soc U K. 1965;85:101–110. [PubMed] [Google Scholar]
  15. Kroll A. J., Machemer R. Experimental retinal detachment in the owl monkey. V. Electron microscopy of the reattached retina. Am J Ophthalmol. 1969 Jan;67(1):117–130. doi: 10.1016/0002-9394(69)90016-6. [DOI] [PubMed] [Google Scholar]
  16. Machemer R. Experimental retinal detachment in the owl monkey. II. Histology of retina and pigment epithelium. Am J Ophthalmol. 1968 Sep;66(3):396–410. doi: 10.1016/0002-9394(68)91523-7. [DOI] [PubMed] [Google Scholar]
  17. Machemer R. Experimental retinal detachment in the owl monkey. IV. The reattached retina. Am J Ophthalmol. 1968 Dec;66(6):1075–1091. doi: 10.1016/0002-9394(68)90816-7. [DOI] [PubMed] [Google Scholar]
  18. Machemer R., Laqua H. Pigment epithelium proliferation in retinal detachment (massive periretinal proliferation). Am J Ophthalmol. 1975 Jul;80(1):1–23. doi: 10.1016/0002-9394(75)90862-4. [DOI] [PubMed] [Google Scholar]
  19. Meredith T. A., Kenyon K. R., Singerman L. J., Fine S. L. Perifoveal vascular leakage and macular oedema after intracapsular cataract extraction. Br J Ophthalmol. 1976 Nov;60(11):765–769. doi: 10.1136/bjo.60.11.765. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Ryan S. J., Jr Cystoid maculopathy in phakic retinal detachment procedures. Am J Ophthalmol. 1973 Oct;76(4):519–522. doi: 10.1016/0002-9394(73)90740-x. [DOI] [PubMed] [Google Scholar]
  21. Shea M. Complications of cryotherapy in retinal detachment surgery. Can J Ophthalmol. 1968 Apr;3(2):110–115. [PubMed] [Google Scholar]
  22. Sudarsky R. D., Yannuzzi L. A. Cryomarcation line and pigment migration after retinal cryosurgery. Arch Ophthalmol. 1970 Apr;83(4):395–401. doi: 10.1001/archopht.1970.00990030395002. [DOI] [PubMed] [Google Scholar]
  23. Tanenbaum H. L., Schepens C. L., Elzeneiny I., Freeman H. M. Macular pucker following retinal surgery. A biomicroscopic study. Can J Ophthalmol. 1969 Jan;4(1):20–23. [PubMed] [Google Scholar]

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