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April 1978

Retinal Detachment in the Second Eye

Author Affiliations

From the Eye Defect and Vision Research Foundation, Inc., and the Department of Preventive Medicine, State University of New York Upstate Medical Center, Syracuse, NY.

Arch Ophthalmol. 1978;96(4):629-634. doi:10.1001/archopht.1978.03910050325006

• Bilateral retinal detachment (RD) occurred in 13% of 737 patients, with an interval between detachments of up to 30 years. Bilateral RD was more common in male patients and in those having more than 3 diopters of myopia. Detachment in the second eye was caused by retinal breaks in previously observed degeneration in 43% and in unsuspected diseased retina in 57%. A significant number of patients with bilateral RD had multiple breaks. Aphakic RD occurred in bilateral RD and in unilateral RD patients at a comparable frequency; 28% of bilateral (mean duration, four years) and 35% of unilateral aphakic RDs occurred within one year of cataract surgery. Symptoms from retinal breaks were not reliable prognostic factors; only 39% of patients had warning before RD. Patients with bilateral RD had more reoperations with fewer successes, factors suggesting greater severity than unilateral RD.

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