Foveal Reattachment After Scleral Buckling vs Vitrectomy for Macula-Off Retinal Detachment.
10.3341/jkos.2009.50.3.399
- Author:
Myun KU
1
;
Hee Jin SOHN
;
Dae Yeong LEE
;
Dong Heun NAM
Author Information
1. Department of Ophthalmology, Gachon University Gil Medical Center, Incheon, Korea. eyedawns@gilhospital.com
- Publication Type:Original Article
- Keywords:
Macula detachment;
Optical coherence tomography;
Retinal detachment;
Subfoveal fluid
- MeSH:
Eye;
Humans;
Ophthalmoscopy;
Retina;
Retinal Detachment;
Retinaldehyde;
Retrospective Studies;
Scleral Buckling;
Subretinal Fluid;
Telescopes;
Tomography, Optical Coherence;
Vitrectomy
- From:Journal of the Korean Ophthalmological Society
2009;50(3):399-404
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To compare the time course of foveal reattachment after successful surgery for macula-off retinal detachments by scleral buckling or pars plana vitrectomy (PPV). METHODS: We retrospectively examined, using optical coherence tomography (OCT), the cross-sectional retinal images of 28 patients who underwent scleral buckling or PPV for macula-off retinal detachment and whose retinas reattached upon binocular stereoscopic indirect ophthalmoscopy within 4 weeks postoperatively. All eyes underwent clinical examination and OCT scan of the macula at 6 weeks after surgery. If subretinal fluid persisted, repeated OCT was obtained at every 1~2 months until no abnormality was seen on OCT. Demographic data, including detachment characteristics, was also analyzed. RESULTS: On postoperative OCT examination 6 weeks after surgery, complete foveal reattachments were detected in 14 patients (73.7%) in the PPV group (n=19), significantly higher than 3 (33.3%) patients in the buckling group (n=9). Foveal reattachment took a mean 8.31+/-5.25 weeks in the PPV group and a mean 20.89+/-11.37 weeks in the buckling group. CONCLUSIONS: Foveal reattachment after macula-off retinal detachment occurred faster after PPV than after buckle surgery.
