Summary:
The authors evaluate a group of 53 eyes of 52 patients operated on account of
retinal detachment with an oral dialysis. The mean follow-up period was 35
months. There were 37 (70%) traumatic dialyses.They were in the temporal lower
quadrant in 58%, in the nasal upper quadrant in 16%, temporal upper quadrant
in 13% and in the nasal lower quadrant in 13%. There were 16 (30%) idiopathic
dialyses, all with one exception in the temporal upper quadrant, they were in the
lower temporal quadrant. 52 eyes were operated primarily cryosurgically , one
eye by pars plana vitrectomy. After primary surgery the retina adhered completely
in 94% eyes. On account of relapses of detachment 9.4% eyes were reoperated. At
the end of the follow up the retina adhered completely in 94% eyes. Functional
improvement or stabilization of vision was achieved in 78% eyes with traumatic
tears and in 87% eyes with idiopathic tears. The authors confirmed the existence
of two different clinical entities - traumatic and idiopathic oral dialysis which
differ as to site and to a certain extent also the prognosis of the disease.
Key words:
detachment of the retina, idiopathic oral dialysis, traumatic oral
dialysis, cryosurgical procedure
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