Since Gonin's operation for detachment of the retina, the prognosis of this disease has not been as desperate, yet it is still fairly serious. When patients are operated on without any consideration as to the favorableness of their condition, not more than 50 to 60 per cent recover. Thus those affected in both eyes are seriously endangered.
Binocular detachment may rarely have a secondary exudative or transudative cause, as in nephritis, especially in the young, in which case the prognosis for life is poor. It also occurs in the nephritis of pregnancy, in exudative retinitis and in proliferating retinosis occurring after hemorrhages into the vitreous.
Even allergy has been involved in the explanation of bilateral detachment, as in the case of Balyeat1 and that of Prewitt.2
Primary "idiopathic" binocular detachment is more frequent. Here also are classified detachments following nonperforating injuries, since the participation of such an injury
de RÖTTH A. BILATERAL DETACHMENT OF THE RETINA: A HEREDODEGENERATIVE DISEASE. Arch Ophthalmol. 1939;22(5):809–831. doi:10.1001/archopht.1939.00860110095006
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