J Korean Ophthalmol Soc.  2012 Jul;53(7):977-981. 10.3341/jkos.2012.53.7.977.

The Prophylactic Effect of 360 Degree Endolaser Photocoagulation for Prevention of Retinal Detachment

• Jung SK
• Park YH

• KMID: 2215856
• DOI: http://doi.org/10.3341/jkos.2012.53.7.977

Abstract

PURPOSE
To evaluate the effectiveness of prophylactic effect of 360 degree endolaser photocoagulation for prevention of retinal detachment after pars plana vitrectomy.
METHODS
In a retrospective study, 53 patients who underwent pars plana vitrectomy by one surgeon from Jan 2008 to Dec 2008 were examined. We compared the visual acuity improvement and postoperative retinal detachment and other postoperative complications in the 28 patients who received the 360 degree endolaser photocoagulation during the pars plana vitrectomy and the 26 patients who did not receive the 360 degree endolaser photocoagulation during the pars plana vitrectomy.
RESULTS
Two patients who did not receive 360 degree endolaser photocoagulation during the surgery got the postoperative retinal detachment. One of them got the only fluid gas exchange, but the other had to receive the reoperation. There was no statistically significant difference of visual acuity between the two groups (p > 0.05), and no surgical complication associated with endolaser photocoagulation.
CONCLUSIONS
360 degree endolaser photocoagulation for prevention of retinal detachment during the pars plana vitrectomy would be considerable for preventing the retinal detachment development.

Keyword

360 Degree endolaser photocoagulation; Pars plana vitrectomy; Retinal detachment

MeSH Terms

Humans
Light Coagulation
Postoperative Complications
Reoperation
Retinal Detachment
Retinaldehyde
Retrospective Studies
Visual Acuity
Vitrectomy
Retinaldehyde

Reference

1. Michels RG. Vitreous surgery for macular pucker. Am J Ophthalmol. 1981. 92:628–639.

2. Banker AS, Freeman WR, Kim JW, et al. Vision-threatening complications of surgery for full-thickness macular holes. Vitrectomy for Macular Hole Study Group. Ophthalmology. 1997. 104:1442–1452. discussion 1452-3.

3. Michels RG. Vitrectomy for macular pucker. Ophthalmology. 1984. 91:1384–1388.

4. Smiddy WE, Isernhagen RD, Michels RG, et al. Vitrectomy for nondiabetic vitreous hemorrhage.Retinal and choroidal vascular disorders. Retina. 1988. 8:88–95.

5. Amirikia A, Scott IU, Murray TG, et al. Outcomes of vitreoretinal surgery for complications of branch retinal vein occlusion. Ophthalmology. 2001. 108:372–376.

6. Pendergast SD, Hassan TS, Williams GA, et al. Vitrectomy for diffuse diabetic macular edema associated with a taut premacular posterior hyaloid. Am J Ophthalmol. 2000. 130:178–186.

7. Laidlaw DA, Karia N, Bunce C, et al. Is prophylactic 360-degree laser retinopexy protective? Risk factors for retinal redetachment after removal of silicone oil. Ophthalmology. 2002. 109:153–158.

8. Vrabec TR, Baumal CR. Demarcation laser photocoagulation of selected macula-sparing rhegmatogenous retinal detachments. Ophthalmology. 2000. 107:1063–1067.

9. Kreiger AE. Wound complications in pars plana vitrectomy. Retina. 1993. 13:335–344.

10. Ku M, Sohn HJ, Lee DY, Nam DH. Sclerotomy-related retinal breaks in vitrectomy for proliferative diabetic retinopathy: 20- vs 23-Gauge Systems. J Korean Ophthalmol Soc. 2009. 50:1066–1070.

11. Koh HJ, Cheng L, Kosobucki B, Freeman WR. Prophylactic intraoperative 360 degrees laser retinopexy for prevention of retinal detachment. Retina. 2007. 27:744–749.

12. Yun YJ, Kim JY. Primary pars plana vitrectomy with 360-degree endolaser photocoagulation for pseudophakic rhegmatogenous retinal detachment. J Korean Ophthalmol Soc. 2009. 50:1348–1352.