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Journal of Ophthalmology
Volume 2014, Article ID 810609, 6 pages
Research Article

Surgical and Visual Outcome for Recurrent Retinal Detachment Surgery

1University Eye Clinic of Geneva, 1211 Geneva, Switzerland
2Department of Ophthalmology, University of Geneva, 1211 Geneva, Switzerland
3Memorial Rothschild Eye Research Unit, La Colline Ophthalmology Center, rue De La Roseraie 75A, 1205 Geneva, Switzerland
4University Eye Clinic of Heraklion, 71500 Heraklion, Greece
5Department of Ophthalmology, University of Larissa, 41110 Larissa, Greece

Received 31 May 2014; Revised 14 July 2014; Accepted 21 July 2014; Published 11 August 2014

Academic Editor: Petros E. Carvounis

Copyright © 2014 Constantin Pournaras et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Purpose. To evaluate the anatomical and functional outcome of repeated surgeries for recurrent retinal detachment. Methods. We retrospectively reviewed 70 cases with refractory retinal detachment of various etiologies that required multiple operations. Anatomical success (attached retina) or failure (totally/partially-detached retina) was assessed biomicroscopically. The BCVA was used for the evaluation of the functional outcome, at presentation and at the end of follow-up. Various pre-, intra-, and postoperative factors were associated with anatomical success or failure as well as with final functionality. Results. The mean number of surgeries was 4 (range: 2 to 10). The anatomical success rate was 80% (56 attached cases, 14 detached cases). 29% of the attached cases had a BCVA better than 20/40 (Snellen chart). The number of operations doesn’t seem to affect significantly the final visual acuity. The PVR was found to affect both the anatomical and functional outcome ( & , respectively). Conclusions. In the present study, it is suggested that multiple operations for refractory retinal detachment may result in successful anatomic results, with a fare functional outcome at the same time. Eventually, we verified that the existence of PVR worsens the prognosis.