Retinal Detachment Surgery

The Dilemma Between Personal Experience and Clinical Trials

Peter Walter


Expert Rev Ophthalmol. 2012;7(5):441-447. 

In This Article

General Factors

The decision for or against a method to treat RRD is not only dependent on the best outcome measured by visual acuity or by single surgery reattachment rate but also on other more general factors such as availability of resources, OR time, instruments supply and the general health of the patient. For example, it may be the case that a patient in a very bad general health condition cannot be placed on an operating room table and then only PR can be carried out even if the chances for primary success may be worse when compared with other techniques. Another factor is cost. In healthcare systems where patients have to pay for the procedure, primary vitrectomy may not be affordable by patients, therefore less expensive techniques such as PR are done more frequently. The same is true for healthcare systems where the access to vitreoretinal equipment or operating rooms and microscopes is limited.