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Andrew J. Packer, MD; John M. Maggiano, MD; Thomas M. Aaberg, MD; Travis A. Meredith, MD; Frederick H. Reeser, MD; James D. Kingham, MD

Arch Ophthalmol. 1983;101(8):1221-1224.

Abstract
• In a prospective evaluation of 154 consecutive retinal detachment procedures, the incidence of choroidal detachment was 39.6%. The age of the patient, drainage of subretinal fluid, and vortex compression by the explant seem to be the most important correlative factors. Scleral explantsup to one quadrant in circumferential length produced a minimal incidence (7.7%) of choroidal detachment. Posterior positioning of the explant also affected the incidence of choroidal detachment. After follow-up, ranging from six to 48 months, postoperative visual acuity was recorded for "macula-on" as well as "macula-off" retinal detachments. In the macula-on group, 78.6% of the patients with choroidal detachment retained a visual acuity of 20/50 or better compared with 82.8% of the patients without choroidal detachment. In the macula-off group, 43.2% of the patients with choroidal detachment achieved a visual acuity of 20/50 or better compared with 55.1% of the patients without choroidal detachment. The final anatomic success rate was 86.5% for eyes with choroidal detachment and 92.3% for eyes without choroidal detachment.

Author Affiliations
From the Retina Section, Department of Ophthalmology, Medical College of Wisconsin, Milwaukee. Dr Packer is now with the University of Iowa Hospitals and Clinics, Iowa City.

Footnotes
Accepted for publication Nov 15, 1982.

Presented as data at the 11th meeting of the Gonin Society, Barcelona, Spain, Oct 5, 1978.

Reprint requests to the C. S. O'Brien Library, Department of Ophthalmology, University of Iowa Hospitals and Clinics, Iowa City, IA 52242 (Dr Packer).

Mark Antiel and Robert F. Woolson, PhD, compiled the statistics in this study.

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