| Object: To evaluate the effect of surgery in cases of rhegmatogenous retinal detachment.Method: 117 patients(122 eyes) with rhegmatogenous retinal detachment that underwent surgical management from January 2000 to December 2006 were involved in this retrospective study. In all 122 eyes, 5 eyes underwent surgical management of endolaser retinal photocoagulation,35 eyes underwent surgical management of Vitreoretinal surgery, 51 eyes underwent surgical management of the placement of liquid into the retina, 51 eyes underwent surgical management of scleral encircling operation, 68 eyes underwent surgical management of scleral buckling procedure, 89 eyes underwent surgical management of scleral cryotherapy. The mean months of follow up period is 6.2. To survey the visual acuity, the break and its closure on retina, and the situation of retinal detachment reduction, and to explore the clinical features of RRD, mechanism and indication of surgery, and complications during or after surgery and how to deal with them.Results: 1,Improved vision was observed in 101 eyes (82.8%), invariable vision was observed in 14 eyes(11.5%), and descended vision was observed in 7 eyes (5.7%). 2,The closure of break after surgery was observed in 118 eyes(96.7%), and the break still existed in 4 eyes (3.3%). Retinal detachment reduction after operation was observed in 114 eyes(93.4%), and the failure of retinal detachment reduction was observed in 12 eyes. After surgery PVR occurred in 4 eyes, among which 2 eyes underwent secondary surgical intervention that was vitrectomy and silicone oil tamponade respectively, 1 eye was refused to be cured because of money, and 1 eye was cured in the other hospital. The closure of break was not accurate in 4 eyes, among which the movement of explants appeared in 1 eyes, 2 eyes underwent the secondary surgical intervention that was the movement of explants out of eyes, scleral encircling operation scleral buckling procedure, the closure of break, and Retinal detachment reduction, and 1 eye was cured in the other hospital. New break was appeared in 3 eye, among which 1 eye underwent the secondary surgical intervention and its break occurred in the superior temporal retina, 2 eyes was cured in the other hospital. Atrophy of eyeball appeared in 1 eye, and in the follow-up period of 3 months the eye experienced surgical management of enucleation and orbital implants. Recurrence of RRD appeared in 3 eyes, among which 1 eye appeared this situation when silicone oil was taken out and then underwent surgical management of enucleation and gas tamponade, 1 eye appeared atrophy of eyeball that underwent the secondary surgical intervention of enucleation and orbital implants, 1 eye appeared PVR more and more seriously and refused to be cured. 3,Complications after surgery: 12 eye appeared the alteration of refractive status and in the follow-up period of 6 months they were rectified by optometry. 9 eye appeared the slow absorption of liquid under the retina, and 1 or 2 weeks after surgery the liquid was absorbed by some treatments such as braking, body position to make sure the liquid was in the lowest position of the eye, and eating some traditional Chinese drugs curing RD. 6 eyes appeared aseptic uveitis, and their situation were controlled by some treatments such as mydriatic and hormone. 5 eyes appeared hypertonia oculi and the situation were controlled by systematical and local treatment. 5 eyes appeared opacity and edema of corneal epithelial cell and 1 weeks after surgery the cornea became transparent. PVR became more and more serious in 5 eyes, among which 2 eyes underwent secondary surgical intervention of vitrectomy and silicone oil tamponade. 2 eyes refused to be cured because of money, 1 eye was cured in the other hospital. The closure of break was not accurate in 4 eyes, among which 3 eyes underwent retinal detachment surgery, 1 eye was cured in the other hospital. 4 eyes appeared the retinal hemorrhage, and 2 weeks they were absorbed by durgs. 4 eyes appeared the complicated cataract, and they can treated by cataract surgery in some time. New break occurred in 3 eyes, among which 1 eye underwent the secondary surgical intervene, and 2 eye was cured in the other hospital. 2 eyes appeared atrophy of eye ball and underwent surgical management of enucleation and orbital implants. Conclusion: 1,Muscae volitants and flashing lights are the common precursory symptom of RRD. 2,Trauma and high myopia are the main cause of RRD. 3,The break of RRD often lie in the temporal retina. 4,To select different ways of surgery according to different situation of cases. 5,Finding the break and close it are the key point of the operation on RRD. 6,The complications after surgery are the alteration of refractive status, slow absorption of liquid under the retina, aseptic uveitis, hypertonia oculi, and opacity and edema of corneal epithelial cell. 7,That PVR become more and more serious and some eyes appear PVR, the closure of break was not accurate, and the new break occurs are the main cause of the recurrence of RRD.
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