The Results of Primary Vitrectomy for Rhegmatogenous Retinal Detachment.
- Author:
Nam Su HAN
1
;
Sung Bok LEE
;
Young Joon JO
Author Information
1. Department of Ophthalmology, College of Medicine, Chungnam National University, Daejeon, Korea. youngjoon@cnu.ac.kr
- Publication Type:Original Article
- Keywords:
Rhegmatogenous retinal detachment;
Vitrectomy without scleral buckling
- MeSH:
Cataract;
Epiretinal Membrane;
Retinal Detachment*;
Retinaldehyde*;
Scleral Buckling;
Visual Acuity;
Vitrectomy*;
Vitreoretinopathy, Proliferative;
Vitreous Hemorrhage
- From:Journal of the Korean Ophthalmological Society
2006;47(1):55-61
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report the anatomic and visual results of vitrectomy without scleral buckling in rhegmatogenous retinal detachment. METHODS: Primary vitrectomy without scleral buckling for the treatment rhegmatogenous retinal detachment was done in 41 eyes (41 patients) and followed up for a mean period of 21.5 months(range 6~65 months). Indications of primary vitrectomy were uncertain preoperative breaks, the presence of large breaks, the presence of breaks near equator, multiple breaks, proliferative vitreoretinopathy not related to breaks and presence of inferior vitreous hemorrhage. RESULTS: The anatomic success rate after a single operation was 90.2%. Visual acuity was improved or stable in 37 eyes (90.2%). Progression of lens opacity (35.7%) and formation of epiretinal membrane (12.2%) constituted the major complications after primary vitrectomy. CONCLUSIONS: Primary vitrectomy without scleral buckling can be a safe, effective method to repair primary rhegmatogenous retinal detachments in selective cases.
