The Efficacy of Fluid-Gas Exchange for the Treatment of Postvitrectomy Retinal Detachment.
10.3341/kjo.2009.23.4.253
- Author:
Ji Hye JANG
1
;
Yu Cheol KIM
;
Kwang Soo KIM
Author Information
1. Department of Ophthalmology, Dongsan Medical Center, Keimyung University College of Medicine, Daegu, Korea. eyedr@dsmc.or.kr
- Publication Type:Original Article ; Comparative Study
- Keywords:
Fluid-gas exchange;
Postvitrectomy retinal detachment;
Two-needle pars plana approach technique
- MeSH:
Adolescent;
Adult;
Aged;
Aged, 80 and over;
Female;
Fluorocarbons/*administration & dosage;
Follow-Up Studies;
Humans;
Injections;
Laser Coagulation/methods;
Male;
Middle Aged;
Ophthalmoscopy;
Postoperative Care/*methods;
Retinal Detachment/diagnosis/etiology/*therapy;
Retrospective Studies;
Sulfur Hexafluoride/*administration & dosage;
Time Factors;
Treatment Outcome;
Visual Acuity;
Vitrectomy/*adverse effects;
Vitreous Body;
Young Adult
- From:Korean Journal of Ophthalmology
2009;23(4):253-258
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: This study was designed to evaluate the efficacy of fluid-gas exchange for the treatment of postvitrectomy retinal detachment. METHODS: We retrospectively reviewed the records of 33 consecutive patients (35 eyes) who underwent fluid-gas exchange treatment for postvitrectomy retinal detachment using the two-needle pars plana approach technique. RESULTS: The retinal reattachment rate was 80.0% after complete intravitreal gas disappearance following the fluid-gas exchange; the overall success rate was 65.7%. Visual acuity was improved or stable in 80.0% of cases; a two-line or greater vision improvement or a best-corrected visual acuity of 0.4 or better occurred in 62.9% of cases. The success rates for superior retinal detachments and posterior pole retinal detachments were 76.5% and 85.7%, respectively. CONCLUSIONS: Fluid-gas exchange represents a simple and cost-effective alternative outpatient procedure for retinal reattachment without reoperation for the treatment of superior and posterior pole retinal detachments.
