A clinical analysis of senile retinal detachment

Objective To investigate the clinical aetiological feature,treatment and effect of senile retinal detachment(SRD).Methods The clinical data of retinal detachment in 187 eyes of 185 patients,undergone surgical treatment and whose ages were no less than fifty,were retrospectively analyzed.Results SRDs were classified as rhegmatogenous,tractional,exudative SRD.In our cases,those three types occupied 74.9％,24.6％,and 0.5％ respectively and there were 61.0％ senile high myopic retinal detachment eyes resulting from a macular hole.Misdiagnosis rate of referrals was 11.4％.Final retinal reattachment rate reached 95.7％,while postoperative cases with "low vision or blindness" occupied 86.6％.Conclusion The main cause of SRD is posterior vitreous detachment.Senile myopic retinal detachment is intensively related to a macular hole.The rate of misdiagnosis is high.A general therapeutic principle of retinal detachment is suitable for SRD.Lots of "low vision or blindness" patients can be found in the postoperative outcomes of SRD. Key words: Detachment, retinal, senile ;  Feature, aetiological ;  Treatment ;  Efficacy