| Scleral Buckling and Primary Vitrectomy in Simple Rhegmatogenous Retinal Detachment. |
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Tae Hyuk Koh, Moon Jeong Choi, Sung Won Cho, Tae Gon Lee, Jae Heung Lee |
1Myung-Gok Eye Research Institute, Department of Ophthalmology, Konyang University, Kim's Eye Hospital, Seoul, Korea. moon17272@kimeye.com
2Department of Ophthalmology, Konyang University, College of Medicine, Daejeon, Korea. |
| 단순 열공망막박리에서 일차 유리체절제술과 공막돌륭술의 치료성적 비교 |
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고태혁1ㆍ최문정1ㆍ조성원1ㆍ이태곤2ㆍ이재흥1 |
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Myung-Gok Eye Research Institute, Department of Ophthalmology, Konyang University, Kim’s Eye Hospital1, Seoul, Korea Department of Ophthalmology, Konyang University College of Medicine2, Daejeon, Korea |
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| Abstract |
PURPOSE
To compare the outcomes of scleral buckling (SB) and primary pars plana vitrectomy (PPV) for treatment of simple rhegmatogenous retinal detachment (RD). METHODS: One hundred and fifteen Eyes undergoing SB or PPV for the treatment of simple rhegmatogenous RD were prospectively identified and followed up at least six months. Anatomic results, functional outcomes and complications were compared between eyes treated with SB and eyes treated with PPV. RESULTS: We detected no significant differences in overall success rates or final vision quality between the two treatment groups. However, the final vision quality of pseudophakic patients treated with PPV was significantly better than the final vision quality of pseudophakic patients treated with SB. Two treatment goups experienced similar rates of intraocular pressure elevation and proliferative vitreoretinopathy development. In phakic patients, the rates of cataract progression were higher in patients treated with PPV than in patients treated with SB. CONCLUSIONS: PPV can be an effective method for the treatment of simple rhegmatogenous RD, and maybe considered as a viable alternative to SB for simple cases. However, in phakic patients treated with PPV, simultaneous or follow-up cataract surgery should be considered as adjuvant treatments. |
| Key Words:
Retinal detachment;Scleral buckling;Vitrectomy |
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