End Results in Retinal Detachment Surgery

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SINCE Gonin's publication1 in 1929, the treatment of retinal detachments has received much attention in the literature and varying results have been reported.

In a symposium presented at the Fifty-Sixth Academy of Ophthalmology and Otolaryngology in October of 1951,2 the committee classified complete reattachment of the retina for a period of not less than six months as a cure (anatomic viewpoint). As they pointed out, this is purely an arbitrary time limit, but it seems to be a fair one. Retinal reattachment does not necessarily mean visual improvement, as we will show.

A statistical survey of end results following operation in 103 consecutive cases of retinal detachment seen at the Cleveland Clinic is presented. The report of results is based on the forementioned criterion.


Age. Ages of the patients showed no significant relationship to incidence although the greatest percentage of cases occurred in the fifth, sixth and seventh decades. These patients were slightly older than most of those reported in the literature and this factor may have some influence on success or failure due to vascular degeneration in older age groups.

Incidence According to Age in Years (103 patients)

(Age range: 9–76)
9 – 206
21 – 306
31 – 4011
41 – 501977 (or 74.7%)
51 – 6033
61 – 7025
over 713

Sex. Sixty of the patients were men (58.2 per cent) and 43 were women (41.8 per cent); the percentage difference of 16.4 seems insignificant.

Duration of Detachment. From past . . .



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