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¹Gazi Üni. Tıp Fak. Göz Hastalıkları AD.
²Dicle Üniv. Tıp Fak. Göz Hast. AD. We reviewed retrospectively clinical characteristics prior to first surgical approach and evaluated causes of redetachment, anatomical and visual results of 170 patients of at least 12 months follow-up period (mean: 35.4±23.2 months) who underwent surgery between 1984-1995 (January) in Gazi University Medical Faculty Department of Ophthalmology. 110 patients (64.7%) were male and 60 were (35.3%) female. Mean age was 47±16.5.
Duration of symptom until first surgery was more than 3 months in 48/100 patients (48%). In 37 Of 120 patients (38.8%) there were datected prior to the first surgery 111 of 120 patients (92.5%) had macular involvement and in 73 of 120 patients (60.8%) retina was totally detached prior to the first surgery. 80 of 100 patients had grade-B-C2 proliferative vitreoretinopathy (PVR) prior to the first surgery. 65 patients (38.2%) were aphakic and 43 patients (26.4%) were myopic (more than -6D).
Redetachment occurred in 83 of 140 patients (59.3%) within the first month, in 26 of 140 patients (18.5%) within 3-6 months. Inappropriate scleral buckling (%37.4) and PVR (%20.6) were found to be major redetachment causes. 108 patients (63.5%) retina was totally detached, macular involvement was present in 158 patients (92.9%) and grade-C3-D PVR was seen in 72 patients (42.3%7 of redetachment cases.
Anatomic success rate was 80.6% and visual acuity increased in 65% of cases. In 9 patients retinal reattachment was not possible during surgery. In 22.3 % of cases various complication were seen. Keywords : Retinal Detachment, Retinal Redetachment, Aphakic Retinal Detachment, Pseudophakic Retinal Detachment