J Korean Ophthalmol Soc.  2009 Sep;50(9):1348-1352. 10.3341/jkos.2009.50.9.1348.

Primary Pars Plana Vitrectomy With 360-Degree Endolaser Photocoagulation for Pseudophakic Rhegmatogenous Retinal Detachment

• Yun YJ
• Kim JY

• KMID: 2212618
• DOI: http://doi.org/10.3341/jkos.2009.50.9.1348

Abstract

PURPOSE
To report the results of primary pars plana vitrectomy with 360-degree endolaser photocoagulation for pseudophakic rhegmatogenous retinal detachment. METHODS: We retrospectively reviewed the medical records of 35 eyes of 35 patients who hadundergone vitrectomy without scleral bucking as a primary operation for pseudophakic rhegmatogenous retinal detachment with a follow-up period of more than 12 months. We also analyzed the anatomical success rate and the patients' final visual acuities. In all patients, endolaser photocoagulation was applied to the retinal tears, as well as to 360-degrees of the peripheral retina, using a curved illuminating endolaser probe intraoperatively. RESULTS: The mean patient age was 61 years, and the mean follow-up period was 20 months. The mean preoperative visual acuity (logMAR) was 1.06, while the mean postoperative visual acuity (logMAR) was 0.23. Twenty-four (69%) of the 35 patients showed macular detachment, and 34 (97%) of the 35 eyes experienced retinal reattachment and visual improvement after a single operation. Complications included epiretinal membrane (6%) and cystoid macular edema (3%). CONCLUSIONS: Primary pars plana vitrectomy with 360-degree endolaser photocoagulation, instead of sclera buckling, seemsto be an effective method in managing pseudophakic rhegmatogenous retinal detachment.

Keyword

360 degrees endolaser; Pseudophakic; Retinal detachment; Vitrectomy

MeSH Terms

Epiretinal Membrane
Eye
Follow-Up Studies
Humans
Light Coagulation
Macular Edema
Medical Records
Retina
Retinal Detachment
Retinal Perforations
Retinaldehyde
Retrospective Studies
Sclera
Visual Acuity
Vitrectomy
Retinaldehyde

Figure

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  Figure 1. Scattergram of preoperative vs. final postoperative visual acuity of 35 eyes (35 patients).

Reference

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