| 공막돌륭술 후 재발된 열공성 망막박리에서 유리체절제술의 효과 |
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오주연, 유형곤 |
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1Department of Ophthalmology, Seoul National University College of Medicine, 2Research Center for Sensory Organs, Seoul National University Medical Research Center, Seoul, Korea |
| Pars Plana Vitrectomy for the Recurrent Retinal Detachmentafter Scleral Buckling |
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Joo Youn Oh, Hyeong Gon Yu |
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| Abstract |
Purpose
To evaluate the surgical outcome of pars plana vitrectomy for the treatment of the recurrent rhegmatogenous retinal detachment more than 6 weeks after reattachment with primary scleral buckling procedures. Methods: We reviewed the clinical and operative records of 31 eyes of 31 patients who underwent pars plana vitrectomy for the treatment of the recurrent retinal detachment more than 6 weeks after reattachment with primary scleral buckling procedures. Anatomical and functional outcomes were analyzed. Results: Of total 246 patients who had achieved a retinal reattachment after scleral buckling, redetachment occurred in 31 patients from 6 weeks to 36 months (average, 10.1 months). Macula was involved in 23 of 31 patients (74.2%) and proliferative vitreoretinopathy was combined in 11 eyes (35.5%). Gas injection was done in 21 eyes (67.7%), and silicone oil was injected in 10 eyes (32.3%), intraoperatively. Phacoemulsification and intraocular lens implantation in 5 eyes and lensectomy in 4 eyes were performed simultaneously with pars plana vitrectomy. Retina was redetached in 6 patients, of which 5 patients had a second vitrectomy. Overall, 30 patients (96.8%) achieved an anatomic success, while only 19 eyes (61.3%) achieved a visual acuity of better than 0.1 in Snellen chart. Conclusions: Regular follow-up is necessary for the patients with rhegmatogenous retinal detachment, even after successful scleral buckling, and pars plana vitrectomy can be useful for recurrent retinal detachment in these patients. (Korean J Optom Vis Sci 2007;6(1):12-18) |
| Key Words:
Pars plana vitrectomy, Rhegmatogenous retinal detachment, Scleral buckling |
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