J Korean Ophthalmol Soc.
1998 Jan;39(1):130-138.
Primary Vitrectomy in Rhegmatogenous Retinal Detachment
- Affiliations
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- 1Department of Ophthalmology, College of Medicine, Pusan National University, Pusan, Korea.
Abstract
- Pars plana vitrectomy was performed for 50 eyes of 50 patients with rhegmatogenous retinal detachment, as the primary procedure, and the indications, surgical results, visual outcome, and complications were analyzed. The procedures with vitrectomy included scleral buckling, membrane peeling, intravitreal gas or silicone oil injection, endolaser photocoagulation, or lensectomy. The retina was successfully reattached in 15 (88.2%) of 17 eyes with moderate to severe proliferative vitreoretinopathy (PVR), in 15 (100%) of 15 eyes with posterior retinal breaks, in 6 (75%) of 8 eyes with giant retinal tear, in 8 (100%) of 8 eyes with poor view of the retina and in 2 (100%) of 2 eyes with undetected retinal breaks. Two or more operations were performed in seventeen eyes(34%) and severe PVR (12 eyes, 66.7%) was the most common cause of reoperation. Visual acuity was improved in 30 eyes (60%), unchanged in 8 eyes (16%), and worse in 12 eyes (24%).
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