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David Carleton Reed, Alexander Juhn, Nadim Rayess, Jason Hsu, Allen Chiang; Outcomes of Retinal Detachment Repair After Scleral Laceration. Invest. Ophthalmol. Vis. Sci. 2014;55(13):1112.
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© ARVO (1962-2015); The Authors (2016-present)
To report the outcomes of retinal detachment (RD) repair following recent scleral laceration repair.
This retrospective, observational, consecutive case series consisted of patients who underwent RD repair for a retinal detachment that was diagnosed within two weeks of scleral laceration repair at our institution between January 1, 2007 and June 8, 2013. Patients with less than 5 months of follow-up and those with intraocular foreign bodies were excluded.
Twenty patients met inclusion criteria. Five of these cases were deemed inoperable at the time of retina surgery. Among the 15 who had successful primary RD repair, the average follow-up was 23 months (range 5-52). Six had re-detachments requiring additional surgery. The average number of surgeries for RD in this group was 1.6 (range 1-4). At the last visit, 10 of 15 were still attached . The final visual acuities were as follows: better than counting fingers in 3, counting fingers in 5, hand motions in 5, light perception in 1, and no light perception in 1. None of the patients were known to have undergone enucleation or evisceration. No cases of sympathetic ophthalmia developed.
Retinal detachment after scleral laceration carries a grave prognosis, but preservation of the eye was common and attempted repair gave ambulatory vision in over half of patients.
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