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F. Molle, D. Lepore, R. Acuña Garcia, F. Focosi, G. D'Amico; Anatomical and Functional Outcomes in Retinal Detachment Surgery: A Retrospective Study . Invest. Ophthalmol. Vis. Sci. 2003;44(13):2998.
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Purpose: To evaluate the anatomical and functional outcomes in retinal detachment surgery (episcleral procedure and vitrectomy). Methods: from Jan ‘97 to Dec '01, 491 patients underwent surgery for retinal detachment in Vitreoretinal Unit at the Catholic University Hospital in Rome. 192 (91 male and 101female; mean age 54,9years) were followed up for a minimum of 6 months. The data set included details on previous surgery, lens status, extent of retinal detachment, status of macula, macular hole, associated proliferative vitreoretinopathy (PVR). Outcomes included the number of reoperations, retinal reattachment and visual acuity. Results: 97 patients were treated with episcleral procedure: 42 with macula off and 45 with macula on. 21 (21.6%) showed a relapse after 2 days to 6 months due to significant PVR and underwent vitrectomy. At 6 months follow up 46.5% had a visual outcome of 20/40 or more; only 10.22% showed a visual acuity < 20/200. In 95 patients vitrectomy was the first procedure (10 were referred as a relapsed detachment): 80 with macula off and 15 with macula on. 10 (10.5%) underwent a relapse of retinal detachment. At 6 months follow up 10.3% had a visual outcome of 20/40 or more while 55.8% showed a visual acuity < 20/200. Conclusions: Although anatomical outcome of vitrectomy is significantly better than episcleral procedures, the cost of such a success is high in term of visual function. The authors investigate the possible explanation of their visual outcomes.
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