Surgical Results of the Uncomplicated Giant Retinal Breaks.
- Author:
Hyung Jin KOO
1
;
Dong Woo PARK
;
Woog Ki MIN
Author Information
1. Department of Ophthalmology, Samsung Medical Center, College of Medicine, Sung Kyun Kwan University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Giant retinal break;
Lensectomy;
Perfluorocarbon liquid;
Scleral buckling
- MeSH:
Lens, Crystalline;
Retina;
Retinal Detachment;
Retinal Perforations*;
Retinaldehyde*;
Scleral Buckling;
Silicone Oils;
Visual Acuity;
Vitreoretinopathy, Proliferative
- From:Journal of the Korean Ophthalmological Society
1998;39(5):949-955
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The surgical success rate for retinal detachment caused by giant retinal breaks was very low in the past because of its frequent association with proliferative vitreoretinopathy and inverted retina I flap. Recently advances in vitreoretinal surgical techniques as well as introduction of perfluorocarbon liquid result in good surgical results. Eleven eyes with uncomplicated retinal detachment from giant retinal breaks underwent vitrectorny. A special effort was made to remove as much vitreous gel of the vitreous base as possible. Lensectomy or encircling was performed, when needed. Inverted retinal flap was unfolded using perfluorocarbon liquid. After laser ph/otocoagulation, internal tamponade was performed with C3 F8 gas or silicone oil. Postoperatively, we achieved anatomical success in all eleven eyes and favorable visual acuity of better than 0.4 in nine eyes(81.8%). We obtained good surgical results for uncomplicated giant retinal breaks using meticulous vitreous base dissection and perfluorocarbon liquid. Removal of crystalline lens or scleral buckling is not always needed in this complex retinal detachment surgery.
