Skip to main content
PMC home page
The British Journal of Ophthalmology logoLink to The British Journal of Ophthalmology
. 2001 May;85(5):546–548. doi: 10.1136/bjo.85.5.546

Primary rhegmatogenous retinal detachment: 20 years of change

M Minihan 1, V Tanner 1, T Williamson 1
PMCID: PMC1723977  PMID: 11316713

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.



Full Text

The Full Text of this article is available as a PDF (92.5 KB).

Figure 1  .

Figure 1  

Open in a new tab

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

Selected References

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

  1. Ah-Fat F. G., Sharma M. C., Majid M. A., McGalliard J. N., Wong D. Trends in vitreoretinal surgery at a tertiary referral centre: 1987 to 1996. Br J Ophthalmol. 1999 Apr;83(4):396–398. doi: 10.1136/bjo.83.4.396. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. CIBIS P. A., BECKER B., OKUN E., CANAAN S. The use of liquid silicone in retinal detachment surgery. Arch Ophthalmol. 1962 Nov;68:590–599. doi: 10.1001/archopht.1962.00960030594005. [DOI] [PubMed] [Google Scholar]
  3. Campo R. V., Sipperley J. O., Sneed S. R., Park D. W., Dugel P. U., Jacobsen J., Flindall R. J. Pars plana vitrectomy without scleral buckle for pseudophakic retinal detachments. Ophthalmology. 1999 Sep;106(9):1811–1816. doi: 10.1016/S0161-6420(99)90353-6. [DOI] [PubMed] [Google Scholar]
  4. Chang S., Lincoff H., Zimmerman N. J., Fuchs W. Giant retinal tears. Surgical techniques and results using perfluorocarbon liquids. Arch Ophthalmol. 1989 May;107(5):761–766. doi: 10.1001/archopht.1989.01070010779046. [DOI] [PubMed] [Google Scholar]
  5. Chignell A. H., Fison L. G., Davies E. W., Hartley R. E., Gundry M. F. Failure in retinal detachment surgery. Br J Ophthalmol. 1973 Aug;57(8):525–530. doi: 10.1136/bjo.57.8.525. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Gartry D. S., Chignell A. H., Franks W. A., Wong D. Pars plana vitrectomy for the treatment of rhegmatogenous retinal detachment uncomplicated by advanced proliferative vitreoretinopathy. Br J Ophthalmol. 1993 Apr;77(4):199–203. doi: 10.1136/bjo.77.4.199. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Han D. P., Mohsin N. C., Guse C. E., Hartz A., Tarkanian C. N. Comparison of pneumatic retinopexy and scleral buckling in the management of primary rhegmatogenous retinal detachment. Southern Wisconsin Pneumatic Retinopexy Study Group. Am J Ophthalmol. 1998 Nov;126(5):658–668. doi: 10.1016/s0002-9394(98)00181-0. [DOI] [PubMed] [Google Scholar]
  8. Kon C. H., Asaria R. H., Occleston N. L., Khaw P. T., Aylward G. W. Risk factors for proliferative vitreoretinopathy after primary vitrectomy: a prospective study. Br J Ophthalmol. 2000 May;84(5):506–511. doi: 10.1136/bjo.84.5.506. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. LINCOFF H. A., BARAS I., MCLEAN J. MODIFICATIONS TO THE CUSTODIS PROCEDURE FOR RETINAL DETACHMENT. Arch Ophthalmol. 1965 Feb;73:160–163. doi: 10.1001/archopht.1965.00970030162004. [DOI] [PubMed] [Google Scholar]
  10. Machemer R., Buettner H., Norton E. W., Parel J. M. Vitrectomy: a pars plana approach. Trans Am Acad Ophthalmol Otolaryngol. 1971 Jul-Aug;75(4):813–820. [PubMed] [Google Scholar]
  11. Scott J. D. Treatment of the detached immobile retina. Trans Ophthalmol Soc U K. 1972;92:351–357. [PubMed] [Google Scholar]
  12. Sullivan P. M., Luff A. J., Aylward G. W. Results of primary retinal reattachment surgery: a prospective audit. Eye (Lond) 1997;11(Pt 6):869–871. doi: 10.1038/eye.1997.223. [DOI] [PubMed] [Google Scholar]
  13. de Bustros S., Thompson J. T., Michels R. G., Enger C., Rice T. A., Glaser B. M. Nuclear sclerosis after vitrectomy for idiopathic epiretinal membranes. Am J Ophthalmol. 1988 Feb 15;105(2):160–164. doi: 10.1016/0002-9394(88)90180-8. [DOI] [PubMed] [Google Scholar]

Articles from The British Journal of Ophthalmology are provided here courtesy of BMJ Publishing Group

RESOURCES