Retinopexy or Lamellar Scleral Resection for Retinal Detachment

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IN 1953, a five-year survey of the results of retinopexy for retinal detachment in 103 consecutive patients at Cleveland Clinic was reported.1 It is the purpose of this paper to present a similar survey of the results of retinopexy and of lamellar scleral resection for retinal detachment in 126 consecutive patients treated here during the succeeding five-year period from 1953 through 1957.

In evaluating the results in the original and also in the current series, the same criterion of a cure as presented at the symposium on retinal detachment2 was applied: complete reattachment of the retina for not less than six months postoperatively. However, as will be noted later, complete reattachment does not necessarily imply visual improvement.

Preoperative Factors

During the five-year period from 1953 through 1957, 331 consecutive patients having retinal detachment were examined here, 11 of whom had bilateral detachment. Of the 331 patients, 126 came to surgery.

Symptoms in the 126 patients were characteristic of those generally reported: blurred vision (126 patients), light flashes (60 patients), subjective scotoma (33 patients), hemorrhage preceding detachment (4 patients), pain (1 patient), and metamorphopsia (1 patient).

The conditions associated with the detachments in the patients were: aphakia (22 patients); trauma (19 patients); glaucoma (6 patients); hypertension (5 patients); retinal detachment or aphakia in the opposite eye (4 patients each); basal-cell carcinoma or carcinoma of the rectum, or anterior and posterior uveitis (2 patients each); and abscessed teeth, arteriosclerotic heart disease, Bell's palsy, cancer of the uterus, cerebral thrombosis, cholelithiasis, corneal ulcer, . . .



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