Biomaterial Database

Visual acuity following retinal detachment surgery. 1979

B Martin, and H E Willshaw

A poor visual acuity following an anatomical cure of a retinal detachment was in this series always associated with a change in macular morphology, the commonest maculopathy being the appearance of a cellophanemembrane. Factors influencing the visual prognosis are duration and extent of the detachment, involvement of the macula, the age of the patient and the presence of pre-operative periretinal membrane formation. The type of buckling procedure is not related to the visual outcome and while the conversion of the procedure into an intra-ocular operation, either by way of drainage of subretinal fluid or by intra-vitreal injection, can cause serious complications we suggest that uncomplicated drainage of subretinal fluid has not been a cause of macular pucker in this series but that this conditions is related to the indication for drainage, namely a varying degree of rigidity of the retina due to periretinal membrane formation.

UI	MeSH Term	Description	Entries
D008266	Macula Lutea	An oval area in the retina, 3 to 5 mm in diameter, usually located temporal to the posterior pole of the eye and slightly below the level of the optic disk. It is characterized by the presence of a yellow pigment diffusely permeating the inner layers, contains the fovea centralis in its center, and provides the best phototropic visual acuity. It is devoid of retinal blood vessels, except in its periphery, and receives nourishment from the choriocapillaris of the choroid. (From Cline et al., Dictionary of Visual Science, 4th ed)	Lutea, Macula,Luteas, Macula,Macula Luteas
D008875	Middle Aged	An adult aged 45 - 64 years.	Middle Age
D011183	Postoperative Complications	Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.	Complication, Postoperative,Complications, Postoperative,Postoperative Complication
D011379	Prognosis	A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.	Prognostic Factor,Prognostic Factors,Factor, Prognostic,Factors, Prognostic,Prognoses
D012163	Retinal Detachment	Separation of the inner layers of the retina (neural retina) from the pigment epithelium. Retinal detachment occurs more commonly in men than in women, in eyes with degenerative myopia, in aging and in aphakia. It may occur after an uncomplicated cataract extraction, but it is seen more often if vitreous humor has been lost during surgery. (Dorland, 27th ed; Newell, Ophthalmology: Principles and Concepts, 7th ed, p310-12).	Retinal Pigment Epithelial Detachment,Detachment, Retinal,Detachments, Retinal,Retinal Detachments
D012164	Retinal Diseases	Diseases involving the RETINA.	Disease, Retinal,Diseases, Retinal,Retinal Disease
D004322	Drainage	The removal of fluids or discharges from the body, such as from a wound, sore, or cavity.
D006801	Humans	Members of the species Homo sapiens.	Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000367	Age Factors	Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.	Age Reporting,Age Factor,Factor, Age,Factors, Age
D012591	Scleral Buckling	An operation for retinal detachment which reduces the size of the globe by indenting the sclera so that it approximates the retina.	Buckling, Scleral,Bucklings, Scleral,Scleral Bucklings