Pseudophakic/Aphakic Retinal Detachment Surgery Using Scleral Depression Technique.
- Author:
Seong Heon MOON
1
;
Byung Heon AHN
;
Woog Ki MIN
Author Information
1. Department of Ophthalmology, College of Medicine, Sung Kyun Kwan University, Samsung Medical Center, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Aphakic/pseudophakic retinal detachment;
Scleral depression;
Vitreous base dissection
- MeSH:
Depression*;
Incidence;
Retina;
Retinal Detachment*;
Retinal Perforations;
Retinaldehyde*;
Traction;
Visual Acuity;
Vitrectomy;
Vitreoretinopathy, Proliferative
- From:Journal of the Korean Ophthalmological Society
1998;39(5):956-962
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
In aphakic/pseudophakic retinal detachments, difficulty in visualizing the peripheral retina and perhaps higher incidence of proliferative vitreoretinopathy result in lower success rate than phakic retinal detachment. We performed pars plana vitrectomy on 20 eyes with aphakic/pseudophakic retinal detachment. In most cases, we combined scleral bucking or encircling procedure. Using scleral depression technique, we found retinal breaks, dissected the vitreous base meticulously, and removed the vitreoretinal tractions. Intraoperatively, we were able to find retinal breaks in 12 eyes in which retinal breaks were not identified preoperatively, and identify additional retinal breaks in 3 of the remaining 8 eyes. We obtained anatomical success in all eyes and favorable visual acuity of better than 0.025 in 16 eyes (80%). These results suggest that finding all retinal breaks and removing vitreoretinal tractions are directly related to the improvernent of the surgical results.
