Abstract：
OBJECTIVE:This study aimed to review the best postoperative visual recovery in patients with macula-off detachments of 7 days' duration or less. DESIGN:Noncontrolled, prospective, interventional case series. PARTICIPANTS:A total of 104 patients with macula-off detachments of 7 days or less were studied, and the time of the macular detachment within the first 7 days was carefully determined. INTERVENTION:All 104 detachments were repaired with a primary scleral buckling procedure. Four cases were primary failures and were excluded from the study. MAIN OUTCOME MEASURES:Statistical methods were used to compare the visual results of three groups of patients; those operated on between 1 and 2 days, 3 and 4 days, or 5 and 7 days after macular involvement. RESULTS:The mean postoperative visual acuity was 20/60. Fifty-nine percent of patients regained 20/50 or better visual acuity, 35% regained visual acuity between 20/60 and 20/200, and 5% of patients were left with visual acuity of less than 20/200 regardless of whether they had undergone surgery within 1 to 2 days, 3 to 4 days, or 5 to 7 days after macular involvement. There was no statistical difference in visual recovery in patients operated on within 1 to 2 days, 3 to 4 days, or 5 to 7 days after macular involvement (P = 0.533). CONCLUSION:Within the first week after development of macula-off retinal detachment, delay in surgical repair does not adversely affect visual outcome.
journal_name
Ophthalmologyjournal_title
Ophthalmologyauthors
Ross WH,Kozy DWdoi
10.1016/S0161-6420(98)91142-3subject
Has Abstractpub_date
1998-11-01 00:00:00pages
2149-53issue
11eissn
0161-6420issn
1549-4713pii
S0161-6420(98)91142-3journal_volume
105pub_type
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