Surgical Prognosis of Retinal Detachment due to Macular Hole.
- Author:
Sung Kyu PARK
1
;
Si Yeol KIM
Author Information
1. Department of Ophthalmology, School of Medicine, Kyungpook National University, Korea. kimsy@kyungpook.ac.kr
- Publication Type:Original Article
- Keywords:
Macular hole;
Pars plana vitrectomy;
Prognostic factors;
Retinal detachment
- MeSH:
Atrophy;
Epiretinal Membrane;
Humans;
Incidence;
Medical Records;
Prognosis*;
Reoperation;
Retinal Detachment*;
Retinal Perforations*;
Retinaldehyde*;
Vitrectomy;
Vitreoretinopathy, Proliferative
- From:Journal of the Korean Ophthalmological Society
2001;42(12):1705-1711
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: In order to evaluate the prognostic factors of vitrectomy for the teatment of retinal detachment due to macular hole. METHODS: The medical records of 19 patients who had undergone pars plana vitrectomy were analyzed. RESULTS: After the first operation, the retinal reattachment was achieved in 12 patients out of 19 patients(63.2%). Among 7 patients who had persistent retinal detachment after the first operation, 6 patients underwent reoperation and 4 out of whom were successfully reattached. The final success rate was 88.9%(16 out of 18 patients). Between 12 patients with successful first operation and the remaining 7 patients, there were statistically significant differences in the incidence of posterior staphyloma, myopic chorioretinal atrophy, proliferative vitreoretinopathy, retinal detachment in two quadrant or more, and complete removal of epiretinal membrane(p<0.05). CONCLUSION: These results suggest that surgical success of post-operation of retinal detachment due to macular hole seems to be related to complete epiretinal membrane removal, proliferative vitreoretinopathy, posterior staphyloma, myopic chorioretinal atrophy and extension of retinal detachment.
