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Archivos de la Sociedad Española de Oftalmología, 2000-06, Vol.75 (6), p.371-376
Ort / Verlag
Spain
Erscheinungsjahr
2000
Link zum Volltext
Quelle
MEDLINE
Beschreibungen/Notizen
The complications observed after 350 surgically treated retinal detachment in the Hospital Universitario de Málaga are retrospectively estudied.
All the patients attended in our emergency service, surgically treated after retinal detachment diagnosis, are studied. Neither admission requirement nor preselection of patients was established for this study.
From the whole of 317 patients, 130 were myopic (41%); previous cataract surgery was present in 32.1%. Retinal reattachment was achieved in 67.9% after the first procedure, in 80.8% after a second and in 82.8% after the third. A relapsed detachment was observed in 112 cases (32%), 62 of which were retreated, observing in 20% a new tear as relapse cause. In one case (0.3%), a permanent central retinal artery after intravitreus gas injection was present.
Neither a prior selection of cases nor the establishment of admission criteria does contribute to a lower success rate after a first procedure. Only in 16.1% of retreated relapse detachment the persistent filtration of the treated tear could be involved as relapse cause. A case of complete blindness after intravitreous injection is worth-noting for its severity and dramatism.