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To analyze functional limits und subjective disturbances despite of anatomically successful surgery for rhegmatogenous retinal detachment (RRD).


138 eyes with rhegmatogenous retinal detachment (RRD) were studied. Among others, analysis included VA measurement, recording of subjective VA disturbances, binocularity and stereopsis tests, pre- and postoperative macular assessment by OCT imaging, comparative fundus photography.


Postoperatively, macular restoration occurred rapidly. Early macular edema was seen in 7% only. No eye showed macular pucker formation. Despite of significant visual improvement, 7% of patients complained of metamorphosia. Stereopsis was reduced in 40%. 10% perceived diplopia, usually associated with a decompensated exophoria or a vertical deviation. A slight retinal shift, usually downwards, was found in some eyes and explained vertical double images. In the later postoperative course these findings slowly, but incompletely improved.

Take home message:

The surgeon should be aware of functional deficiencies that may occur despite of a high primary reattachment rate and bother patients more than expected.