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Related Experiment Videos

Subretinal fibrosis in retinal detachment.

R H Wallyn, G F Hilton

    Archives of Ophthalmology (Chicago, Ill. : 1960)
    |November 1, 1979
    PubMed
    Summary
    This summary is machine-generated.

    Subretinal fibrosis in retinal detachment occurs in 3% of cases and increases with detachment duration. Scleral buckling surgery effectively treated 19 of 20 affected eyes.

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    A new classification of the retinoschises.

    Retina (Philadelphia, Pa.)·1995

    Area of Science:

    • Ophthalmology
    • Retinal diseases
    • Surgical outcomes

    Background:

    • Retinal detachment is a serious condition requiring prompt treatment.
    • Subretinal fibrosis can complicate retinal detachment, potentially affecting surgical outcomes.
    • The incidence and progression of subretinal fibrosis in relation to detachment duration are not fully elucidated.

    Purpose of the Study:

    • To determine the incidence of preoperative subretinal fibrosis without preretinal fibrosis in retinal detachment.
    • To investigate the relationship between the duration of retinal detachment and the occurrence of subretinal fibrosis.
    • To evaluate the efficacy of scleral buckling surgery in eyes with subretinal fibrosis.

    Main Methods:

    • Retrospective analysis of 629 consecutive retinal detachment cases.

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  • Classification of fibrosis presence (subretinal vs. preretinal).
  • Correlation of fibrosis incidence with detachment duration and surgical outcomes.
  • Main Results:

    • 20 eyes (3%) presented with preoperative subretinal fibrosis without preretinal fibrosis.
    • Fibrosis incidence increased linearly with detachment duration, from 0.8% (<1 month) to 22% (>2 years).
    • Scleral buckling achieved anatomical cure in 19 of the 20 eyes with subretinal fibrosis.

    Conclusions:

    • Subretinal fibrosis is an uncommon but significant finding in retinal detachment.
    • Prolonged duration of retinal detachment is a key risk factor for developing subretinal fibrosis.
    • Scleral buckling is a highly effective surgical treatment for retinal detachments complicated by subretinal fibrosis.