Original Articles
Analyzing Visual Outcomes and Complications in Retinal Detachment Surgery | |
Dr. Mirani Manish Shantilal | |
Background: Retinal detachment is a vision-threatening condition requiring prompt surgical intervention. Despite advances in techniques, variability in visual outcomes and the risk of complications remain significant challenges. Objective:This study evaluates visual outcomes, anatomical success rates, and complications associated with different surgical methods for managing retinal detachment.Methods: A retrospective analysis of 125 patients undergoing scleral buckling, pars plana vitrectomy (PPV), or pneumatic retinopexy was conducted. Data collected included demographics, preoperative visual acuity, macular status, surgical details, and postoperative outcomes. Statistical analysis identified predictors of successful outcomes and risk factors for complications.Results: The overall anatomical reattachment rate was 92%, with PPV achieving the highest success rate (95%). Mean visual acuity improved significantly from 1.2 logMAR preoperatively to 0.7 logMAR postoperatively (p < 0.01). Macula-on detachments showed better outcomes than macula-off detachments (p < 0.001). Complications occurred in 27% of cases, with cataract progression (19%) and proliferative vitreoretinopathy (8%) being the most common.Conclusions: It is concluded that retinal detachment surgery effectively restores anatomical integrity and improves visual outcomes, particularly with advanced techniques like PPV. Early diagnosis, timely intervention, and strategies to mitigate complications are crucial for optimizing patient care. |
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