Recent Trends in the Management of Rhegmatogenous Retinal Detachment

Akrit Sodhi, Loh Shan Leung, Diana V. Do, Emily W. Gower, Oliver D. Schein, James T. Handa

Research output: Contribution to journalArticlepeer-review

139 Scopus citations


It has been nearly a century since Jules Gonin performed the first intervention for rhegmatogenous retinal detachment, trans-scleral cautery, achieving successful outcomes in close to 50% of his cases. With the introduction of alternative surgical approaches in the last half-century, including Charles Schepens' scleral buckle technique and Robert Machemer's pars plana vitrectomy, the surgical success rates have risen to close to 90%. Nonetheless, despite dramatic progress in the success of reattachment surgeries, reasonable disagreement exists as to which approach (or combination of approaches) is the best form of surgical intervention for patients with rhegmatogenous retinal detachments. In this review, the authors summarize the current knowledge of retinal detachment, and examine emerging results from the first large scale, prospective, randomized, controlled clinical trials addressing the efficacy of these surgical approaches for retinal detachment, with the hope of identifying the most appropriate (evidence-based) therapeutic intervention for the treatment of rhegmatogenous retinal detachment.

Original languageEnglish (US)
Pages (from-to)50-67
Number of pages18
JournalSurvey of Ophthalmology
Issue number1
StatePublished - Jan 2008
Externally publishedYes


  • pars plana vitrectomy
  • pneumatic retinopexy
  • retinal detachment
  • rhegmatogenous retinal detachment
  • scleral buckle technique
  • surgery

ASJC Scopus subject areas

  • Ophthalmology


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